Healthcare Provider Details

I. General information

NPI: 1457909285
Provider Name (Legal Business Name): ARABA AWOTWI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2019
Last Update Date: 08/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 CARPENTER FLETCHER RD STE 402
DURHAM NC
27713-2271
US

IV. Provider business mailing address

1632 SNOWMASS WAY
DURHAM NC
27713-4513
US

V. Phone/Fax

Practice location:
  • Phone: 984-363-7415
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number271077
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: