Individual provider · Type 1 NPI

Gideon Dwomo

Registered Nurse · Enfield, CT

NPI number 1235631342 Active

Practice location

153 Hazard Ave
Enfield, CT 06082-4592

Call (860) 253-5020 Map

Fax (860) 253-5030

Mailing address

2 Waterside Xing Ste 401
Windsor, CT 06095-1588

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000X040075 (CT)
Registered Nurse Primary 163W00000X221191 (CT)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1235631342

Gideon Dwomo's National Provider Identifier is 1235631342, issued on Mar 5, 2018. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Enfield, CT. The record was last updated on Jan 21, 2025.