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NPI 1124749015 · live from the CMS NPI Registry

Kwame Agyen

Registered Nurse, Home Health in Worcester, MA. National Provider Identifier 1124749015, active.

NPI record

NPI1124749015 Type 1 · individual
StatusActive
Primary specialtyRegistered Nurse, Home Health 163WH0200X
Practice location83 Circuit Ave W, Worcester, MA 01603
Practice phone508-868-1576
EnumeratedSeptember 8, 2022
Last updatedSeptember 8, 2022
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse163W00000Xrn2352031 (MA)
Registered Nurse, Home Health primary163WH0200Xrn2352031 (MA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.