Healthcare Provider Details

I. General information

NPI: 1811476914
Provider Name (Legal Business Name): ANGELA ASANTEWAA OHENE PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2018
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

524 W BROAD ST STE B
COLUMBUS OH
43215-2775
US

IV. Provider business mailing address

3155 OMEGA DR
COLUMBUS OH
43231-8807
US

V. Phone/Fax

Practice location:
  • Phone: 614-900-0648
  • Fax:
Mailing address:
  • Phone: 614-271-0710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0029722
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.444441
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0029722
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: