Provider Demographics
NPI:1609685981
Name:MENSAH, AGNES ADWOA
Entity type:Individual
Prefix:
First Name:AGNES
Middle Name:ADWOA
Last Name:MENSAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13915 146TH AVE N
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:MN
Mailing Address - Zip Code:55327-2201
Mailing Address - Country:US
Mailing Address - Phone:952-297-5722
Mailing Address - Fax:
Practice Address - Street 1:13915 146TH AVE N
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:MN
Practice Address - Zip Code:55327-2201
Practice Address - Country:US
Practice Address - Phone:952-297-5722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health