Provider Demographics
NPI:1952156846
Name:BARIMAH, AMMA GRACE (FNP-C)
Entity Type:Individual
Prefix:
First Name:AMMA
Middle Name:GRACE
Last Name:BARIMAH
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 EXETER CT
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06042-8507
Mailing Address - Country:US
Mailing Address - Phone:124-891-0142
Mailing Address - Fax:
Practice Address - Street 1:31 EXETER CT
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06042-8507
Practice Address - Country:US
Practice Address - Phone:124-891-0142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT13138363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily