Individual
MR. NANA YEBOAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(862) 452-9248
Mailing address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15096700
NJ
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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