Provider Demographics
NPI:1346873569
Name:AMOAH, PRISCILLA AKUA (RN)
Entity Type:Individual
Prefix:MRS
First Name:PRISCILLA
Middle Name:AKUA
Last Name:AMOAH
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 1:20360 E 42ND AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80249-6998
Mailing Address - Country:US
Mailing Address - Phone:720-325-9133
Mailing Address - Fax:
Practice Address - Street 1:20360 E 42ND AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80249-6998
Practice Address - Country:US
Practice Address - Phone:720-325-9133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-17
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1623394163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse