Healthcare Provider Details

I. General information

NPI: 1811638828
Provider Name (Legal Business Name): WINIFRED OSEI AWUAH RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 04/05/2022
Certification Date: 04/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 RUSSELL CALVIN DR
WORCESTER MA
01605-1091
US

IV. Provider business mailing address

8 RUSSELL CALVIN DR
WORCESTER MA
01605-1091
US

V. Phone/Fax

Practice location:
  • Phone: 774-239-2998
  • Fax: 774-272-8448
Mailing address:
  • Phone: 774-239-2998
  • Fax: 774-272-8448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN2262050
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: