Provider Demographics
NPI:1598572356
Name:SANKOH, FATMATA BINTA (LPN)
Entity type:Individual
Prefix:
First Name:FATMATA
Middle Name:BINTA
Last Name:SANKOH
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:493 MELISSA DR
Mailing Address - Street 2:
Mailing Address - City:PLAIN CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43064-0020
Mailing Address - Country:US
Mailing Address - Phone:614-852-8009
Mailing Address - Fax:
Practice Address - Street 1:493 MELISSA DR
Practice Address - Street 2:
Practice Address - City:PLAIN CITY
Practice Address - State:OH
Practice Address - Zip Code:43064-0020
Practice Address - Country:US
Practice Address - Phone:614-852-8009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.183843.MEDS.IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse