Provider Demographics
NPI:1689443665
Name:BAFFOUR-ARHIN NURSE PRACTITIONER IN FAMILY HEALTH, PLLC
Entity Type:Organization
Organization Name:BAFFOUR-ARHIN NURSE PRACTITIONER IN FAMILY HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAFFOUR-ARHIN
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP-C
Authorized Official - Phone:347-420-1303
Mailing Address - Street 1:709 LAFAYETTE AVE APT 3A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11221-1364
Mailing Address - Country:US
Mailing Address - Phone:347-420-1303
Mailing Address - Fax:
Practice Address - Street 1:709 LAFAYETTE AVE APT 3A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221-1364
Practice Address - Country:US
Practice Address - Phone:347-420-1303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-01
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1417266396Medicaid