Healthcare Provider Details

I. General information

NPI: 1285982306
Provider Name (Legal Business Name): KAMEKA YVONNE ANDERSON CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAMEKA YVONNE GRAHAM APRN

II. Dates (important events)

Enumeration Date: 08/21/2012
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 COLLINGWOOD BLVD
TOLEDO OH
43620-1152
US

IV. Provider business mailing address

329 N WEST ST
LIMA OH
45801-4332
US

V. Phone/Fax

Practice location:
  • Phone: 419-841-1832
  • Fax:
Mailing address:
  • Phone: 419-221-3072
  • Fax: 419-481-9895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCOA.15595-NP
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number299832
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: