Provider Demographics
NPI:1083599484
Name:OWUSU, BETTY KORANTEMAA (RN)
Entity type:Individual
Prefix:
First Name:BETTY
Middle Name:KORANTEMAA
Last Name:OWUSU
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 1:8825 153RD ST APT 3H
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-3752
Mailing Address - Country:US
Mailing Address - Phone:929-401-8355
Mailing Address - Fax:
Practice Address - Street 1:8825 153RD ST APT 3H
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-3752
Practice Address - Country:US
Practice Address - Phone:929-401-8355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY955188163WS0200X, 163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WS0200XNursing Service ProvidersRegistered NurseSchool