Provider Demographics
NPI:1164784500
Name:KWARTENG, AKYEA (LPN)
Entity Type:Individual
Prefix:MISS
First Name:AKYEA
Middle Name:
Last Name:KWARTENG
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9707 HORACE HARDING EXPY
Mailing Address - Street 2:APT. 2K
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-4156
Mailing Address - Country:US
Mailing Address - Phone:646-467-4075
Mailing Address - Fax:
Practice Address - Street 1:9707 HORACE HARDING EXPY
Practice Address - Street 2:APT. 2K
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368-4156
Practice Address - Country:US
Practice Address - Phone:646-467-4075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY309284-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse