Provider Demographics
NPI:1669959516
Name:TWUMASI, AKUA ANIWAAH (LVN)
Entity type:Individual
Prefix:
First Name:AKUA
Middle Name:ANIWAAH
Last Name:TWUMASI
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:MRS
Other - First Name:AKUA
Other - Middle Name:ANIWAAH
Other - Last Name:TWUMASI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LVN
Mailing Address - Street 1:602 W SEMANDS ST
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77301-1867
Mailing Address - Country:US
Mailing Address - Phone:936-756-5598
Mailing Address - Fax:
Practice Address - Street 1:14203 BEGONIA ESTATES CT
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-8077
Practice Address - Country:US
Practice Address - Phone:936-756-5598
Practice Address - Fax:936-249-2244
Is Sole Proprietor?:No
Enumeration Date:2018-07-24
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX227703164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX33944552OtherDRIVER LICENSE