Provider Demographics
NPI:1235582883
Name:GYAMFI, GEORGETTE A (RN)
Entity Type:Individual
Prefix:MISS
First Name:GEORGETTE
Middle Name:A
Last Name:GYAMFI
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 1:17 SCENIC DR APT H
Mailing Address - Street 2:
Mailing Address - City:CROTON ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10520-1714
Mailing Address - Country:US
Mailing Address - Phone:646-353-0805
Mailing Address - Fax:
Practice Address - Street 1:242 LOGANVIEW DR
Practice Address - Street 2:
Practice Address - City:LOGANVILLE
Practice Address - State:GA
Practice Address - Zip Code:30052-5712
Practice Address - Country:US
Practice Address - Phone:646-353-0805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY621763-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse