Provider Demographics
NPI:1518215797
Name:YEBOAH, BARBARA (RN)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:YEBOAH
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 1:2245 OCEAN PKWY
Mailing Address - Street 2:APT 3B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-4849
Mailing Address - Country:US
Mailing Address - Phone:718-375-1897
Mailing Address - Fax:
Practice Address - Street 1:2245 OCEAN PKWY
Practice Address - Street 2:APT 3B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-4849
Practice Address - Country:US
Practice Address - Phone:718-375-1897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-20
Last Update Date:2012-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY651895163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health