Provider Demographics
NPI:1770873309
Name:ABBAN-SAAH, KOBINA (RN)
Entity type:Individual
Prefix:
First Name:KOBINA
Middle Name:
Last Name:ABBAN-SAAH
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 1:491 WELD ST
Mailing Address - Street 2:APT 2
Mailing Address - City:WEST ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02132-1313
Mailing Address - Country:US
Mailing Address - Phone:508-736-4981
Mailing Address - Fax:
Practice Address - Street 1:491 WELD ST
Practice Address - Street 2:APT 2
Practice Address - City:WEST ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02132-1313
Practice Address - Country:US
Practice Address - Phone:508-736-4981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-16
Last Update Date:2011-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2258507163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse