Provider Demographics
NPI:1316619976
Name:EKPENDU, PRINCESS
Entity type:Individual
Prefix:
First Name:PRINCESS
Middle Name:
Last Name:EKPENDU
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 1:940 MILLERS RUN CT
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-8645
Mailing Address - Country:US
Mailing Address - Phone:513-668-1777
Mailing Address - Fax:
Practice Address - Street 1:940 MILLERS RUN CT
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-8645
Practice Address - Country:US
Practice Address - Phone:513-668-1777
Practice Address - Fax:513-332-9635
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)