Provider Demographics
NPI:1861832032
Name:AWUMEY, ALICE AKUA (RN)
Entity Type:Individual
Prefix:MISS
First Name:ALICE
Middle Name:AKUA
Last Name:AWUMEY
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 1:2390 TIEBOUT AVE
Mailing Address - Street 2:APT. 6D
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-7305
Mailing Address - Country:US
Mailing Address - Phone:718-669-0610
Mailing Address - Fax:
Practice Address - Street 1:2390 TIEBOUT AVE
Practice Address - Street 2:APT. 6D
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-7305
Practice Address - Country:US
Practice Address - Phone:718-669-0610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY671923-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse