Provider Demographics
NPI:1467794230
Name:GYAMFUWAA, AMMA (RN)
Entity Type:Individual
Prefix:MISS
First Name:AMMA
Middle Name:
Last Name:GYAMFUWAA
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 1:143 FORBES ST
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-3010
Mailing Address - Country:US
Mailing Address - Phone:973-454-5133
Mailing Address - Fax:
Practice Address - Street 1:143 FORBES ST
Practice Address - Street 2:
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065-3010
Practice Address - Country:US
Practice Address - Phone:973-454-5133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY557704-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse