Provider Demographics
NPI:1851641963
Name:BOADI, NOREEN KYEWAA
Entity Type:Individual
Prefix:
First Name:NOREEN
Middle Name:KYEWAA
Last Name:BOADI
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 1:2 HANCOCK ST
Mailing Address - Street 2:APT # 112
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02171-1726
Mailing Address - Country:US
Mailing Address - Phone:917-501-2106
Mailing Address - Fax:
Practice Address - Street 1:2 HANCOCK ST
Practice Address - Street 2:APT# 112
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02171-1726
Practice Address - Country:US
Practice Address - Phone:917-501-2106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-17
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program