Provider Demographics
NPI:1528315363
Name:QUANSAH, AMA (RN)
Entity type:Individual
Prefix:
First Name:AMA
Middle Name:
Last Name:QUANSAH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15005 LOST CANYON CT
Mailing Address - Street 2:APT. 204
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-4903
Mailing Address - Country:US
Mailing Address - Phone:732-330-2070
Mailing Address - Fax:
Practice Address - Street 1:15005 LOST CANYON CT
Practice Address - Street 2:APT. 204
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-4903
Practice Address - Country:US
Practice Address - Phone:732-330-2070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-10
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001237036163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse