MEDICARE: DAVID APPIAH

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	372600000X	Adult Companion	NM
2	374T00000X	Religious Nonmedical Nursing Personnel	NM
3	374U00000X	Home Health Aide	NM
4	376J00000X	Homemaker	NM
5	376K00000X	Nurse's Aide	NM

General Provider Information

NPI Number	:	1962817155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID APPIAH

Provider Business Mailing Address
First Line	:	3615 BUCKSKIN LOOP NE
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87144-1445
Country	:	US
Telephone Number	:	937-727-1001
Fax Number	:

Provider Business Practice Location Address
First Line	:	3615 BUCKSKIN LOOP NE
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87144-1445
Country	:	US
Telephone Number	:	937-727-1001
Fax Number	:

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

Provider Enumeration Date	:	06/25/2014
Last Update Date	:	06/25/2014

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