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NPI Code Detail

MEDICARE: MISS JULIET ANSAH NP

MEDICARE: MISS JULIET ANSAH NP
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 Practitioner407633NY

General Provider Information

NPI Number : 1548123151
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JULIET ANSAH NP
Provider Business Mailing Address
First Line : 147 LAKE ST
Second Line :
City : NEWBURGH
State : NY
Zip : 12550-5263
Country : US
Telephone Number : 845-563-8000
Fax Number :
Provider Business Practice Location Address
First Line : 147 LAKE ST
Second Line :
City : NEWBURGH
State : NY
Zip : 12550-5263
Country : US
Telephone Number : 845-563-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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