Doctor Name: | DIANA ANTWI |
NPI Number: | 1205104189 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 616961 |
Business Practice Address: | 4 Belaire Ct Old Bridge, NJ - 088573035 |
Business Phone Number: | 6467322292 |
Business Fax Number: | |
Mailing Address: | 4 Belaire Ct, OLD BRIDGE |
State: | NJ |
Postal Code: | 088573035 |
Phone Number: | 6467322292 |
Fax Number: | |
NPI Enumeration Date: | 12/07/2011 |
NPI Last Update Date: | 12/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 616961 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |