Healthcare Provider Details

I. General information

NPI: 1316854938
Provider Name (Legal Business Name): JULIANA ASIEDUWAA OTENG SEFAH BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4040 E BROAD ST
COLUMBUS OH
43213-1156
US

IV. Provider business mailing address

3149 SHASTA AVE
COLUMBUS OH
43231-3112
US

V. Phone/Fax

Practice location:
  • Phone: 614-705-2767
  • Fax:
Mailing address:
  • Phone: 614-260-9785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN540780
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: