Provider Demographics
NPI:1376095968
Name:AFRIYIE, HANNA
Entity Type:Individual
Prefix:
First Name:HANNA
Middle Name:
Last Name:AFRIYIE
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:HANNA
Other - Middle Name:BERKO
Other - Last Name:NYARKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:22 SIMMONS AVE
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-2200
Mailing Address - Country:US
Mailing Address - Phone:401-215-0115
Mailing Address - Fax:
Practice Address - Street 1:22 SIMMONS AVE
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2200
Practice Address - Country:US
Practice Address - Phone:401-215-0115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-29
Last Update Date:2016-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA164W00000X164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse