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NPI Code Detail

MEDICARE: MRS. AKOSUA AMAKO AFOAKWA NACHELLE RN

MEDICARE:  MRS. AKOSUA AMAKO AFOAKWA NACHELLE  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
1163W00000XRegistered Nurse250123AZ

General Provider Information

NPI Number : 1700665395
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AKOSUA AMAKO AFOAKWA NACHELLE RN
Provider Business Mailing Address
First Line : 4499 W CHARLIE DR
Second Line :
City : SAN TAN VALLEY
State : AZ
Zip : 85144-0115
Country : US
Telephone Number : 701-590-4653
Fax Number :
Provider Business Practice Location Address
First Line : 4499 W CHARLIE DR
Second Line :
City : SAN TAN VALLEY
State : AZ
Zip : 85144-0115
Country : US
Telephone Number : 701-590-4653
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2023
Last Update Date : 09/25/2023

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Directions to “ MRS. AKOSUA AMAKO AFOAKWA NACHELLE RN” Practice Location

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