Provider Demographics
NPI:1073991881
Name:KUOFIE, JULIANA (RN)
Entity Type:Individual
Prefix:MRS
First Name:JULIANA
Middle Name:
Last Name:KUOFIE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 SCHOOLHOUSE LNDG
Mailing Address - Street 2:
Mailing Address - City:EAST GRANBY
Mailing Address - State:CT
Mailing Address - Zip Code:06026-2600
Mailing Address - Country:US
Mailing Address - Phone:860-324-2710
Mailing Address - Fax:
Practice Address - Street 1:56 SCHOOLHOUSE LNDG
Practice Address - Street 2:
Practice Address - City:EAST GRANBY
Practice Address - State:CT
Practice Address - Zip Code:06026-2600
Practice Address - Country:US
Practice Address - Phone:860-324-2710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-13
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN267376163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse