Healthcare Provider Details

I. General information

NPI: 1205362951
Provider Name (Legal Business Name): OLIVIA ASANTEWAA OBENG-ASARE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2017
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8354 PRINCETON GLENDALE RD STE 102
WEST CHESTER OH
45069-2130
US

IV. Provider business mailing address

8354 PRINCETON GLENDALE RD STE 102
WEST CHESTER OH
45069-2130
US

V. Phone/Fax

Practice location:
  • Phone: 513-499-2909
  • Fax:
Mailing address:
  • Phone: 513-499-2909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0035954
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN.449884
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number164785.MEDS-IV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: