Provider Demographics
NPI:1023802311
Name:APWAH, BENEDICTTA C
Entity type:Individual
Prefix:
First Name:BENEDICTTA
Middle Name:C
Last Name:APWAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 PEER PL
Mailing Address - Street 2:
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-3707
Mailing Address - Country:US
Mailing Address - Phone:973-216-4924
Mailing Address - Fax:
Practice Address - Street 1:408 MAIN ST STE 101D
Practice Address - Street 2:
Practice Address - City:BOONTON
Practice Address - State:NJ
Practice Address - Zip Code:07005-1799
Practice Address - Country:US
Practice Address - Phone:973-216-4924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula