Healthcare Provider Details

I. General information

NPI: 1891271268
Provider Name (Legal Business Name): ESTHER ASANTE BAAH N/A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2018
Last Update Date: 07/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 WALFORD LN APT 308
COLUMBUS OH
43224-1437
US

IV. Provider business mailing address

2200 WALFORD LN APT 308
COLUMBUS OH
43224-1437
US

V. Phone/Fax

Practice location:
  • Phone: 614-680-1700
  • Fax:
Mailing address:
  • Phone: 614-680-1700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number402082300618
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: