Provider Demographics
NPI:1396552279
Name:NYANTAKYI, ANDREWS KWABENA (RN)
Entity type:Individual
Prefix:MR
First Name:ANDREWS
Middle Name:KWABENA
Last Name:NYANTAKYI
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7847 WORMANS MILL RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-3045
Mailing Address - Country:US
Mailing Address - Phone:952-200-6933
Mailing Address - Fax:
Practice Address - Street 1:7847 WORMANS MILL RD
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-3045
Practice Address - Country:US
Practice Address - Phone:952-200-6933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-14
Last Update Date:2024-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR254481163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty