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NPI Code Detail

MEDICARE: VERONICA YEBOAH

MEDICARE: VERONICA YEBOAH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner0035552OH

General Provider Information

NPI Number : 1417726969
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERONICA YEBOAH
Provider Business Mailing Address
First Line : PO BOX 248122
Second Line :
City : COLUMBUS
State : OH
Zip : 43224-8122
Country : US
Telephone Number :
Fax Number : 614-882-4664
Provider Business Practice Location Address
First Line : 3180 E BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43209-2055
Country : US
Telephone Number : 614-632-9101
Fax Number : 614-882-4664
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2023
Last Update Date : 03/14/2025

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Directions to “ VERONICA YEBOAH ” Practice Location

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