MEDICARE: ESTHER ASANTE BAAH N/A

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	376K00000X	Nurse's Aide	402082300618	OH
2	246RP1900X	Phlebotomy Technician

General Provider Information

NPI Number	:	1891271268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTHER ASANTE BAAH N/A

Provider Business Mailing Address
First Line	:	2200 WALFORD LN APT 308
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-1437
Country	:	US
Telephone Number	:	614-680-1700
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 WALFORD LN APT 308
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-1437
Country	:	US
Telephone Number	:	614-680-1700
Fax Number	:

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

Provider Enumeration Date	:	07/18/2018
Last Update Date	:	07/18/2018

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