Provider Demographics
NPI:1174119531
Name:ANDOH, BEATRICE (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:BEATRICE
Middle Name:
Last Name:ANDOH
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7535 E HAMPDEN AVE STE 429
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4838
Mailing Address - Country:US
Mailing Address - Phone:720-677-9091
Mailing Address - Fax:
Practice Address - Street 1:7535 E HAMPDEN AVE STE 429
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-4838
Practice Address - Country:US
Practice Address - Phone:720-677-9091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-18
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1623640163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse