Provider Demographics
NPI:1881426138
Name:BEMPONG, COMFORT (RN)
Entity type:Individual
Prefix:
First Name:COMFORT
Middle Name:
Last Name:BEMPONG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 CANFIELD WAY
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CT
Mailing Address - Zip Code:06001-2949
Mailing Address - Country:US
Mailing Address - Phone:860-305-6050
Mailing Address - Fax:
Practice Address - Street 1:5 FOREST PARK DR
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-1476
Practice Address - Country:US
Practice Address - Phone:860-764-8900
Practice Address - Fax:860-764-8901
Is Sole Proprietor?:No
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant