Provider Demographics
NPI:1174145098
Name:ACHEAMPONG, ADWOA (RN)
Entity type:Individual
Prefix:
First Name:ADWOA
Middle Name:
Last Name:ACHEAMPONG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17511 MURRAYFIELD CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2009
Mailing Address - Country:US
Mailing Address - Phone:443-285-9402
Mailing Address - Fax:
Practice Address - Street 1:17511 MURRAYFIELD CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-2009
Practice Address - Country:US
Practice Address - Phone:443-285-9402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-13
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)