Healthcare Provider Details

I. General information

NPI: 1679076186
Provider Name (Legal Business Name): MARGARET AWISI ACHAMPONG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGARET TETTEH

II. Dates (important events)

Enumeration Date: 03/11/2018
Last Update Date: 10/31/2022
Certification Date: 10/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 BURNET AVE
CINCINNATI OH
45229-3014
US

IV. Provider business mailing address

4463 WYNFALL CT
MASON OH
45040-2948
US

V. Phone/Fax

Practice location:
  • Phone: 513-357-7289
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP023679
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN.CNP.023679
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: