Provider Demographics
NPI:1487968442
Name:ANNOH, RAHMATU AFADUA (RN)
Entity type:Individual
Prefix:MS
First Name:RAHMATU
Middle Name:AFADUA
Last Name:ANNOH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 RAVINE DR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44112-2331
Mailing Address - Country:US
Mailing Address - Phone:216-761-0375
Mailing Address - Fax:216-451-1500
Practice Address - Street 1:915 RAVINE DR
Practice Address - Street 2:
Practice Address - City:CLEVELAND HTS
Practice Address - State:OH
Practice Address - Zip Code:44112-2331
Practice Address - Country:US
Practice Address - Phone:216-761-0375
Practice Address - Fax:216-451-1500
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-02
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-231946163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse