Provider Demographics
NPI:1275280844
Name:GYASI, FLORENCE OFORI (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:FLORENCE
Middle Name:OFORI
Last Name:GYASI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:FLORENCE
Other - Middle Name:KWARTEMAA
Other - Last Name:OFORI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 27759
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19118-0759
Mailing Address - Country:US
Mailing Address - Phone:267-307-0294
Mailing Address - Fax:
Practice Address - Street 1:8835 GERMANTOWN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118-2718
Practice Address - Country:US
Practice Address - Phone:215-248-8200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-03
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP025197363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty