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1922414747 NPI number — BETINA BOAMAH OFORI PNP, RN

NPI Number: 1922414747
Health Care Provider/Practitioner: BETINA BOAMAH OFORI PNP, RN

Information about “1922414747” NPI (BETINA BOAMAH OFORI PNP, RN) exists in 1922414747 in HTML format HTML  |  1922414747 in plain Text format TXT  |  1922414747 in PDF (Portable Document Format) PDF  |  1922414747 in an XML format XML  formats.

NPI Number : 1922414747 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922414747",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OFORI",
    "FirstName": "BETINA",
    "MiddleName": "BOAMAH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PNP, RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1170 BANNOCKBURN AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROCK HILL",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29732-1095",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-589-6186",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "834 W MEETING ST STE C",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LANCASTER",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29720-6220",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "803-313-3846",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/02/2014",
    "LastUpdateDate": "11/25/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LP0200X",
          "TaxonomyName": "Pediatric Nurse Practitioner",
          "LicenseNumber": "18988",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "18988",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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