MEDICARE: ABENA LARBI NP

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	363LA2100X	Acute Care Nurse Practitioner	APRN.CNP.0032532	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861277303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABENA LARBI NP

Provider Business Mailing Address
First Line	:	2818 MACK RD
Second Line	:
City	:	FAIRFIELD
State	:	OH
Zip	:	45014-5130
Country	:	US
Telephone Number	:	614-432-4964
Fax Number	:

Provider Business Practice Location Address
First Line	:	2818 MACK RD
Second Line	:
City	:	FAIRFIELD
State	:	OH
Zip	:	45014-5130
Country	:	US
Telephone Number	:	513-900-0750
Fax Number	:	513-816-7631

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

Provider Enumeration Date	:	08/31/2023
Last Update Date	:	12/01/2025

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