MILLICENT BOA-AMPONSEM


Address: 907 Ramsay St, Baltimore, MD 21223
Phone: 6512027307

MILLICENT BOA-AMPONSEM (NPI# 1659858769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659858769
Entity Type Individual
Full Name MILLICENT BOA-AMPONSEM
Credential NURSE PRACTITIONER
Practice Address 907 Ramsay St
Baltimore
MD 21223
Mailing Address 907 Ramsay St
Baltimore
MD 21223-3624
Practice Telephone 6512027307
Mailing Telephone 1651202730
Enumeration Date 2018-07-20
Last Update Date 2020-09-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
R213614 MD Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
R213614 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 907 RAMSAY ST
City BALTIMORE
State MD
Zip Code 21223

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BALTIMORE
Zip Code 21223

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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