Individual
THEOPHANIA OFORI BUAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
557 BROOKDALE DR, STATESVILLE, NC 28677-4107
(704) 769-0823
Mailing address
300 POMPTON RD, WAYNE, NJ 07470-2103
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
363LG0600X
NC
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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