MEDICARE: NINA ADU-BONSU RN

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
1	163WM0705X	Medical-Surgical Registered Nurse	695725	NY

General Provider Information

NPI Number	:	1841923000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NINA ADU-BONSU RN

Provider Business Mailing Address
First Line	:	4222 SALT SPRING LN
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207-4995
Country	:	US
Telephone Number	:	347-944-8861
Fax Number	:

Provider Business Practice Location Address
First Line	:	4222 SALT SPRING LN
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207-4995
Country	:	US
Telephone Number	:	347-944-8861
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2022
Last Update Date	:	07/06/2022

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