Provider Demographics
NPI:1215793385
Name:ANNOH, NANWA DELPHINE
Entity type:Individual
Prefix:
First Name:NANWA
Middle Name:DELPHINE
Last Name:ANNOH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6604 ELDERBERRY CT
Mailing Address - Street 2:
Mailing Address - City:MAINEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45039-7078
Mailing Address - Country:US
Mailing Address - Phone:518-428-9542
Mailing Address - Fax:
Practice Address - Street 1:6604 ELDERBERRY CT
Practice Address - Street 2:
Practice Address - City:MAINEVILLE
Practice Address - State:OH
Practice Address - Zip Code:45039-7078
Practice Address - Country:US
Practice Address - Phone:518-428-9542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH532503163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse