Healthcare Provider Details

I. General information

NPI: 1164163473
Provider Name (Legal Business Name): NAANA ASAMOAH-DUODU DNP, WHNP-BC,RNC-MNN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2022
Last Update Date: 04/02/2022
Certification Date: 03/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 COVENTRY CIR
PISCATAWAY NJ
08854-5250
US

IV. Provider business mailing address

60 COVENTRY CIR
PISCATAWAY NJ
08854-5250
US

V. Phone/Fax

Practice location:
  • Phone: 173-282-4496
  • Fax:
Mailing address:
  • Phone: 732-824-4962
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number26NJ01293300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: