Healthcare Provider Details

I. General information

NPI: 1528221256
Provider Name (Legal Business Name): ADMIRE SANKOH APRN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ADMIRE SANKOH

II. Dates (important events)

Enumeration Date: 07/02/2008
Last Update Date: 10/27/2022
Certification Date: 11/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 W BROAD ST
COLUMBUS OH
43223-1297
US

IV. Provider business mailing address

2200 W BROAD ST
COLUMBUS OH
43223-1297
US

V. Phone/Fax

Practice location:
  • Phone: 614-752-0333
  • Fax:
Mailing address:
  • Phone: 614-752-0333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberAPRN.CNP.0027986
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0027986
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: