Healthcare Provider Details

I. General information

NPI: 1871807677
Provider Name (Legal Business Name): OLIVIA KWAADU SARKODIE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2010
Last Update Date: 08/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7479 CLANCY WAY
WESTERVILLE OH
43082-9307
US

IV. Provider business mailing address

7479 CLANCY WAY
WESTERVILLE OH
43082-9307
US

V. Phone/Fax

Practice location:
  • Phone: 614-623-4135
  • Fax:
Mailing address:
  • Phone: 614-623-4135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number303549
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: