Provider Demographics
NPI:1700211349
Name:AMEYAW, PATIENCE AMPOMAH
Entity Type:Individual
Prefix:MISS
First Name:PATIENCE
Middle Name:AMPOMAH
Last Name:AMEYAW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14221 E KENTUCKY PL # 20-207
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-6150
Mailing Address - Country:US
Mailing Address - Phone:720-329-8377
Mailing Address - Fax:
Practice Address - Street 1:14221 E KENTUCKY PL # 20-207
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-6150
Practice Address - Country:US
Practice Address - Phone:720-329-8377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-12
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker