Gifty Boaten
Individual provider Active NPI Licensed Practical Nurse · Avenel, NJ
NPI 1831556448 · NPPES record last updated Jan 27, 2016
Key facts
- NPI
- 1831556448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 307198 (NY)
- Practice address
- 3505 Village Dr
Avenel, NJ 07001-1064 - Phone
- (917) 407-3447
- NPI assigned
- Jan 27, 2016
- 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)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 307198 | NY | Yes |
Addresses
Primary practice location
3505 Village Dr
Avenel, NJ 07001-1064
Mailing address
3505 Village Drive
Avenel, NJ 07001
Phone (917) 407-3447
Other providers in Avenel, NJ
- Monica Bedroni
- Cristobal Andres Beiro
- Janice Belarmino
- Jermilya Bentley
- Fadi Beydoun
- Amirah J Brack
- Brigitte Rnfa LLC
- Andrzej Brzezinski
- Cabyon Bridge Distribution
- Jessenia Camino
All providers in Avenel, NJ · Licensed Practical Nurse 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 Jan 27, 2016. 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.