Lucy Akosua Boadu, RN

Individual provider Active NPI Registered Nurse · West Harrison, NY

NPI 1336830009 · NPPES record last updated May 15, 2023

Key facts

NPI
1336830009
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
781306-01 (NY)
Practice address
228 Lincoln Ave E
West Harrison, NY 10604-2016
Phone
(914) 447-5322
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
781306-01NYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 781306-01 NY Yes

Addresses

Primary practice location

228 Lincoln Ave E
West Harrison, NY 10604-2016

Mailing address

32 Midwood Ave
Yonkers, NY 10701-5413
Phone (917) 603-5317

Other providers in West Harrison, NY

All providers in West Harrison, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.