Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 5014962 | NC |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 5014962 | NC |
NPI | 1023786605 |
---|---|
Provider Name | Sandra Baffour Kyei |
First Address | Winston Salem, NC 27157-0001 |
Second Address | High Point, NC 27262-4331 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2021 |
Last Update Date | 09/09/2021 |