MEDICARE: MS. ARABA AWOTWI RN

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
1	163WM0705X	Medical-Surgical Registered Nurse	271077	NC

General Provider Information

NPI Number	:	1457909285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ARABA AWOTWI RN

Provider Business Mailing Address
First Line	:	1632 SNOWMASS WAY
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27713-4513
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1725 CARPENTER FLETCHER RD STE 402
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27713-2271
Country	:	US
Telephone Number	:	984-363-7415
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2019
Last Update Date	:	08/26/2019

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