Healthcare Provider Details

I. General information

NPI: 1881516078
Provider Name (Legal Business Name): FAHTIVA VIRTUAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

362 INVERNESS AVE
DELAWARE OH
43015-8185
US

IV. Provider business mailing address

362 INVERNESS AVE
DELAWARE OH
43015-8185
US

V. Phone/Fax

Practice location:
  • Phone: 614-285-7483
  • Fax: 614-500-7093
Mailing address:
  • Phone: 740-417-3701
  • Fax: 614-500-7093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: FAHTIMA SESAY
Title or Position: CEO
Credential: NP
Phone: 740-417-3701