Provider Demographics
NPI:1124808894
Name:GYAMFI, VIDA KENA-DANKWAH (MSN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:VIDA
Middle Name:KENA-DANKWAH
Last Name:GYAMFI
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:VIDA
Other - Middle Name:KENA
Other - Last Name:DANKWAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 187
Mailing Address - Street 2:
Mailing Address - City:FAISON
Mailing Address - State:NC
Mailing Address - Zip Code:28341-0187
Mailing Address - Country:US
Mailing Address - Phone:910-935-1195
Mailing Address - Fax:
Practice Address - Street 1:906 N US 421 HWY
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NC
Practice Address - Zip Code:28328-0410
Practice Address - Country:US
Practice Address - Phone:910-592-1462
Practice Address - Fax:910-808-1040
Is Sole Proprietor?:No
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC294130163W00000X
NCGYAM-BX7OM363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse