Individual provider · NPI-1

Angela Antwi Boateng

Nurse Practitioner, Family · Bronx, NY

NPI number1134432115
StatusActive
Last updated in NPPESApr 8, 2025

Details

NPI
1134432115
Entity type
Individual (NPI-1)
Name
Angela Antwi Boateng
Sex
Female
Sole proprietor
No
Enumeration date
Jul 20, 2010
Certification date
Apr 8, 2025
Last updated
Apr 8, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Familyf351546-01NYYes
163W00000X Registered Nurse608436-1NY
163WG0000X Registered Nurse, General Practice608436-1NY

Other names

  • Angela Boateng (Professional Name)

Practice location

1825 Eastchester Rd
Bronx, NY 10461-2301

Phone 718-904-3333

Mailing address

1825 Eastchester Rd
Bronx, NY 10461-2301

Phone 718-904-3333

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