Provider Demographics
NPI:1992507172
Name:OSEI-MENSAH, ALFREDA
Entity type:Individual
Prefix:
First Name:ALFREDA
Middle Name:
Last Name:OSEI-MENSAH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 BRICE RD STE 260
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-3413
Mailing Address - Country:US
Mailing Address - Phone:614-707-8935
Mailing Address - Fax:614-604-8586
Practice Address - Street 1:2020 BRICE RD STE 260
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-3413
Practice Address - Country:US
Practice Address - Phone:614-707-8935
Practice Address - Fax:614-604-8586
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH25737333747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant