Provider Demographics
NPI:1497480305
Name:BAAH, HAGAR KYEIWAA (RN)
Entity Type:Individual
Prefix:
First Name:HAGAR
Middle Name:KYEIWAA
Last Name:BAAH
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 1:95 FARRAR AVE
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01604-3260
Mailing Address - Country:US
Mailing Address - Phone:774-386-8160
Mailing Address - Fax:
Practice Address - Street 1:95 FARRAR AVE
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01604-3260
Practice Address - Country:US
Practice Address - Phone:774-386-8160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-24
Last Update Date:2022-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2316358163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health