Mintaa Amankwa

Individual provider Active NPI Registered Nurse · Wingdale, NY

NPI 1962011189 · NPPES record last updated Jul 23, 2020

Key facts

NPI
1962011189
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
767731 (NY)
Practice address
7 Applewood LN
Wingdale, NY 12594-1326
Phone
(844) 828-2666
NPI assigned
Jul 23, 2020
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

State licenses

LicenseStateTypeSpecialty
767731NYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 767731 NY Yes

Addresses

Primary practice location

7 Applewood LN
Wingdale, NY 12594-1326

Mailing address

7 Applewood LN
Wingdale, NY 12594-1326

Other providers in Wingdale, NY

All providers in Wingdale, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.