Individual
BERNICE ANSAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2090 CROTONA PKWY APT 6A, BRONX, NY 10460-1696
(646) 331-1606
Mailing address
2090 CROTONA PKWY APT 6A, BRONX, NY 10460-1696
(646) 331-1606
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310656-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310656-1
LPN LICENSE
NY
Enumeration date
08/05/2012
Last updated
08/05/2012
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