Basic Information
| Provider Information | |||||||||
| NPI: | 1174893754 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ACHEAMPONG | ||||||||
| FirstName: | NANA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | R.N, ANP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 263 WESTCHESTER AVE | ||||||||
| Address2: | |||||||||
| City: | WEST BABYLON | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117042116 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6314914529 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3 DELAWARE DR | ||||||||
| Address2: | |||||||||
| City: | NEW HYDE PARK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11042 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5166226105 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/12/2012 | ||||||||
| LastUpdateDate: | 05/29/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 650721 | NY | N | Nursing Service Providers | Registered Nurse | 363LG0600X | F3083891 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Gerontology |
No ID Information.