Provider Demographics
NPI:1376912659
Name:MENSAH, SHEILA BOAFOA (RN)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:BOAFOA
Last Name:MENSAH
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 1:50 PRINCETON HIGHTSTOWN RD STE 280
Mailing Address - Street 2:
Mailing Address - City:PRINCETON JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-1107
Mailing Address - Country:US
Mailing Address - Phone:609-910-1105
Mailing Address - Fax:609-910-1106
Practice Address - Street 1:50 PRINCETON HIGHTSTOWN RD STE 280
Practice Address - Street 2:
Practice Address - City:PRINCETON JUNCTION
Practice Address - State:NJ
Practice Address - Zip Code:08550-1107
Practice Address - Country:US
Practice Address - Phone:609-910-1105
Practice Address - Fax:609-910-1106
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-17
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR13055000163WI0500X, 163WH0200X, 163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163WX0200XNursing Service ProvidersRegistered NurseOncology