Provider Demographics
NPI:1225594120
Name:CHIE, SCHOLAR AWAH (RN)
Entity Type:Individual
Prefix:
First Name:SCHOLAR
Middle Name:AWAH
Last Name:CHIE
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 1:20 UPLAND ST
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-4822
Mailing Address - Country:US
Mailing Address - Phone:978-996-5513
Mailing Address - Fax:
Practice Address - Street 1:20 UPLAND ST
Practice Address - Street 2:
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-4822
Practice Address - Country:US
Practice Address - Phone:978-996-5513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-15
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2328650163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MARN2328650Medicaid