Provider Demographics
NPI:1588079586
Name:NTEM-MENSAH, AFUA DUKER (MD)
Entity type:Individual
Prefix:
First Name:AFUA
Middle Name:DUKER
Last Name:NTEM-MENSAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 N 27TH ST STE 11
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-4457
Mailing Address - Country:US
Mailing Address - Phone:402-844-8196
Mailing Address - Fax:402-844-8195
Practice Address - Street 1:301 N 27TH ST STE 11
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-4457
Practice Address - Country:US
Practice Address - Phone:402-844-8196
Practice Address - Fax:402-844-8195
Is Sole Proprietor?:No
Enumeration Date:2014-06-27
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE31977207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026516605Medicaid