Provider Demographics
NPI:1710628169
Name:ONWONA-AGYEMAN, AHMED
Entity Type:Individual
Prefix:
First Name:AHMED
Middle Name:
Last Name:ONWONA-AGYEMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 155
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50301-0155
Mailing Address - Country:US
Mailing Address - Phone:515-360-2541
Mailing Address - Fax:
Practice Address - Street 1:3898 NW 102ND PL
Practice Address - Street 2:
Practice Address - City:POLK CITY
Practice Address - State:IA
Practice Address - Zip Code:50226-7548
Practice Address - Country:US
Practice Address - Phone:515-360-2541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide