Healthcare Provider Details

I. General information

NPI: 1932439833
Provider Name (Legal Business Name): NJU YVONNE AKWI ENDAH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/28/2009
Last Update Date: 04/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5658 COLERAIN AVE
CINCINNATI OH
45239-6746
US

IV. Provider business mailing address

22807 SPELLBROOK BEND LN
RICHMOND TX
77407-6397
US

V. Phone/Fax

Practice location:
  • Phone: 513-307-7700
  • Fax: 513-332-9050
Mailing address:
  • Phone: 513-259-4216
  • Fax: 513-332-9050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP140569
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number358719
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLPN 130578
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: