Provider Demographics
NPI:1740760511
Name:ASARE-KYERE, BERNICE (RN)
Entity Type:Individual
Prefix:MISS
First Name:BERNICE
Middle Name:
Last Name:ASARE-KYERE
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 1:34 HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11717-3640
Mailing Address - Country:US
Mailing Address - Phone:646-363-2392
Mailing Address - Fax:
Practice Address - Street 1:34 HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:NY
Practice Address - Zip Code:11717-3640
Practice Address - Country:US
Practice Address - Phone:646-363-2392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-20
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY756235163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health