Hermina Antwi-Boasiako, NP-C
Individual provider Active NPI Family Nurse Practitioner · Old Bridge, NJ
NPI 1780933812 · NPPES record last updated Feb 24, 2017
Key facts
- NPI
- 1780933812
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 26NJ00392000 (NJ)
- Practice address
- 2988 Route 516
Old Bridge, NJ 08857-2325 - Phone
- (866) 389-2727
- NPI assigned
- Sep 5, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00392000 | NJ | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00392000 | NJ | Yes |
Addresses
Primary practice location
2988 Route 516
Old Bridge, NJ 08857-2325
Mailing address
2988 Route 516
Old Bridge, NJ 08857-2325
Phone (866) 389-2727
Other providers in Old Bridge, NJ
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- Kevin Amuquandoh
- Verena Andrews
- Diana Antwi
- Apex Physical Therapy & Rehabilitation LLC
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- Apluscare, LLC
- Tricia Aquilino
All providers in Old Bridge, NJ · Family Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.