Provider Demographics
NPI:1780279281
Name:AMEYAW, JANET NIMO I (N/A)
Entity type:Individual
Prefix:MISS
First Name:JANET
Middle Name:NIMO
Last Name:AMEYAW
Suffix:I
Gender:F
Credentials:N/A
Other - Prefix:MISS
Other - First Name:JANET
Other - Middle Name:NIMO
Other - Last Name:AMEYAW
Other - Suffix:I
Other - Last Name Type:Professional Name
Other - Credentials:N/A
Mailing Address - Street 1:1056 DONNA LN APT 208
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:ND
Mailing Address - Zip Code:58601-8354
Mailing Address - Country:US
Mailing Address - Phone:404-573-0351
Mailing Address - Fax:
Practice Address - Street 1:1056 DONNA LN APT 208
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:ND
Practice Address - Zip Code:58601-8354
Practice Address - Country:US
Practice Address - Phone:404-573-0351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-05
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND73269163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health