Healthcare Provider Details

I. General information

NPI: 1407764475
Provider Name (Legal Business Name): ASABEA DANSO-KWATENG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 CHROME ST APT 1
WORCESTER MA
01604-6186
US

IV. Provider business mailing address

5 CHROME ST APT 1
WORCESTER MA
01604-6186
US

V. Phone/Fax

Practice location:
  • Phone: 774-535-9027
  • Fax:
Mailing address:
  • Phone: 774-535-9027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0600X
TaxonomyGerontology Registered Nurse
License NumberRN2327796
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: