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NPI Code Detail

MEDICARE: MRS. EWURAMA AFADZIWA AMPOFO APRN,NP-C

MEDICARE: MRS. EWURAMA AFADZIWA AMPOFO APRN,NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerRN10033669MA
2363LF0000XFamily Nurse PractitionerRN10033669MA
3363LP0808XPsychiatric/Mental Health Nurse Practitioner12.004400CT
4363LF0000XFamily Nurse Practitioner12.004400CT

General Provider Information

NPI Number : 1376856112
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EWURAMA AFADZIWA AMPOFO APRN,NP-C
Provider Business Mailing Address
First Line : 200 W CENTER ST STE C3
Second Line :
City : MANCHESTER
State : CT
Zip : 06040-4870
Country : US
Telephone Number : 860-712-5956
Fax Number : 860-969-0829
Provider Business Practice Location Address
First Line : 200 W CENTER ST STE C3
Second Line :
City : MANCHESTER
State : CT
Zip : 06040-4870
Country : US
Telephone Number : 860-957-8170
Fax Number : 860-969-0929
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2010
Last Update Date : 01/08/2026

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