Destiny Medical Practice LLC
NPI #1669071775 in Westampton, New Jersey
Provider Information
- NPI Number
- 1669071775
- Entity Type
- Organization
- Organization Name
- Destiny Medical Practice LLC
- Primary Specialty
- Nurse Practitioner - Adult Health
- Enumeration Date
- Oct 20, 2020
- Last Updated
- Nov 24, 2020
Practice Location
- Address
- 10 AMARA LN
- City
- Westampton
- State
- New Jersey
- ZIP Code
- 08060-5753
- Phone
- (914) 204-3348
Authorized Official
- Name
- VIDA-LYNN ASIAMAH- ASARE, APN
- Title
- OWNER
- Phone
- (917) 204-3333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
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