=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821807413
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ESTHER NYAMEKYE AIDOO
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/07/2025
-----------------------------------------------------
Last Update Date | 01/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2500 MCCLELLAN AVE STE 300
-----------------------------------------------------
City | PENNSAUKEN
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08109-0001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 856-361-1131
-----------------------------------------------------
Fax | 856-488-5573
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 32 CHAMPLAIN ST
-----------------------------------------------------
City | SICKLERVILLE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08081-4829
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 856-236-1323
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | RN767727
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------