Provider Demographics
NPI:1376680173
Name:GYAMFI-DARKWAH, ALBERTA (RN)
Entity Type:Individual
Prefix:
First Name:ALBERTA
Middle Name:
Last Name:GYAMFI-DARKWAH
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 1:351 BENEFIT ST # 353
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02861-1200
Mailing Address - Country:US
Mailing Address - Phone:401-727-7030
Mailing Address - Fax:401-724-6410
Practice Address - Street 1:249 ROOSEVELT AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-2134
Practice Address - Country:US
Practice Address - Phone:401-724-8400
Practice Address - Fax:401-365-1100
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN42178163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI03043-9OtherBLUE CROSS CRISIS