Provider Demographics
NPI:1811638828
Name:AWUAH, WINIFRED OSEI (RN, BSN)
Entity type:Individual
Prefix:
First Name:WINIFRED
Middle Name:OSEI
Last Name:AWUAH
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 RUSSELL CALVIN DR
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-1091
Mailing Address - Country:US
Mailing Address - Phone:774-239-2998
Mailing Address - Fax:774-272-8448
Practice Address - Street 1:8 RUSSELL CALVIN DR
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-1091
Practice Address - Country:US
Practice Address - Phone:774-239-2998
Practice Address - Fax:774-272-8448
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2262050163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA19314660Medicaid