Gideon Dwomo
Registered Nurse in Enfield, Connecticut
1235631342- Practice location
- 153 Hazard Ave, Enfield, CT 06082-4592
- Phone
- 860-253-5020
- Fax
- 860-253-5030
- Last updated
- January 21, 2025
Gideon Dwomo is a Registered Nurse based in Enfield, CT. Gideon Dwomo practices in Enfield, CT. The NPI Number for Gideon Dwomo is 1235631342 and holds a License No. 040075 (CT). The current practice location address for Gideon Dwomo is 153 Hazard Ave, Enfield, CT 06082-4592 and can be reached out via phone at 860-253-5020 and via fax at 860-253-5030.
Provider Profile Details
- NPI Number
- 1235631342
- Provider Name
- Gideon Dwomo
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 153 Hazard Ave, Enfield, CT 06082-4592
- Phone Number
- 860-253-5020
- Fax Number
- 860-253-5030
- Primary Taxonomy
- Registered Nurse · 163W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 5, 2018
- Last Update Date
- January 21, 2025
- Certification Date
- January 21, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 153 Hazard Ave
Enfield, CT 06082-4592 - City
- Enfield
- State
- Connecticut
- Zip
- 06082-4592
- Phone Number
- 860-253-5020
- Fax Number
- 860-253-5030
Provider Business Mailing Address Details
- Address
- 2 Waterside Xing Ste 401
Windsor, CT 06095-1588 - City
- Windsor
- State
- CT
- Zip
- 06095-1588
- Phone Number
- 860-731-5522
- Fax Number
- 860-731-5536
License Information
- License Number (1)
- 040075
- License State (1)
- CT
- Taxonomy (1)
- Licensed Practical Nurse · 164W00000X
- License Number (2)
- 221191
- License State (2)
- CT
- Taxonomy (2)
- Registered Nurse · 163W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Registered Nurses near Enfield, CT
View all Registered Nurses in Enfield →Frequently Asked Questions
What is the NPI number of Gideon Dwomo?
The NPI number of Gideon Dwomo is 1235631342. It was assigned on March 5, 2018 and is currently active in the NPPES registry.
What is the specialty of Gideon Dwomo?
Gideon Dwomo is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in CT under license number 040075.
Where does Gideon Dwomo practice?
The practice location is 153 Hazard Ave, Enfield, CT 06082-4592. The office can be reached at 860-253-5020 (phone) or 860-253-5030 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235631342 directly on the NPPES registry website.