MEDICARE: FREDA AMOAA BOAKYE

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	163W00000X	Registered Nurse	RN.952084	TX

General Provider Information

NPI Number	:	1568620987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FREDA AMOAA BOAKYE

Provider Business Mailing Address
First Line	:	5117 WINTON RD
Second Line	:	UNIT A
City	:	FAIRFIELD
State	:	OH
Zip	:	45014-2990
Country	:	US
Telephone Number	:	513-829-2348
Fax Number	:

Provider Business Practice Location Address
First Line	:	11112 HAVITURE WAY
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76708-7160
Country	:	US
Telephone Number	:	513-282-9239
Fax Number	:

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

Provider Enumeration Date	:	06/02/2008
Last Update Date	:	02/10/2026

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Directions to “ FREDA AMOAA BOAKYE ” Practice Location

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