Individual
MS. NAA ADAAWAH WILSON-KUMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
56 FRANKLIN ST STE 1, WATERBURY, CT 06706-1281
(203) 709-6185
Mailing address
112 PLEASANT DR, SOUTHBURY, CT 06488-3231
(240) 899-1993
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
005239
CT
367500000X
Certified Registered Nurse Anesthetist
109131
CT
367500000X
Certified Registered Nurse Anesthetist
RN-197396
CO
367500000X
Certified Registered Nurse Anesthetist
RN966002
DC
367500000X
Certified Registered Nurse Anesthetist
Primary
SRA25033
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404579300
—
MD
05
—
82681279
—
CO
01
—
KBC1CH
CAREFIRST BCBS
MD
01
—
P00745078
MEDICARE RAILROAD
MD
01
—
P00956867
MEDICARE RR
CO
01
—
S417-0022
CAREFIRST BCBS
DC
Enumeration date
09/26/2005
Last updated
09/12/2024
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