Individual provider · Type 1 NPI
Edith Adwoa Koduah, NP
Adult Health Nurse Practitioner · Bronx, NY
NPI number
1235655895
Active
Practice location
2015 Grand Concourse
Bronx, NY 10453-4303
Fax (718) 299-6797
Mailing address
3198 Grand Concourse
Bronx, NY 10458-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F308144 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1235655895
Edith Adwoa Koduah, NP's National Provider Identifier is 1235655895, issued on Aug 16, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Bronx, NY. The record was last updated on Aug 16, 2017.