Provider Demographics
NPI:1265039150
Name:NYAAH BEATRICE AFOR EPSE TIC, FNU
Entity Type:Individual
Prefix:
First Name:FNU
Middle Name:
Last Name:NYAAH BEATRICE AFOR EPSE TIC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 10TH ST APT 608
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-3524
Mailing Address - Country:US
Mailing Address - Phone:240-708-1315
Mailing Address - Fax:
Practice Address - Street 1:608 10TH ST APT 608
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-3524
Practice Address - Country:US
Practice Address - Phone:240-708-1315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide