Healthcare Provider Details

I. General information

NPI: 1730493800
Provider Name (Legal Business Name): AMA MARFO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2010
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 GLENDALE MILFORD RD UNIT 510
CINCINNATI OH
45241-3131
US

IV. Provider business mailing address

3136 PARKWOOD LANE
HAMILTON OH
45011
US

V. Phone/Fax

Practice location:
  • Phone: 513-815-1224
  • Fax: 513-857-7904
Mailing address:
  • Phone: 513-884-8001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.425327
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License NumberPN132769
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: