Healthcare Provider Details

I. General information

NPI: 1457821068
Provider Name (Legal Business Name): DENNIS NANA KWASI OWUSU-ANSAH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/27/2018
Last Update Date: 11/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8822 E FLORIDA AVE APT G5
DENVER CO
80247-2818
US

IV. Provider business mailing address

8822 E FLORIDA AVE APT G5
DENVER CO
80247-2818
US

V. Phone/Fax

Practice location:
  • Phone: 720-238-1435
  • Fax:
Mailing address:
  • Phone: 720-238-1435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: