Provider Demographics
NPI:1013232636
Name:BAH, HUSSAINATU (RN, MSN, FNP)
Entity Type:Individual
Prefix:
First Name:HUSSAINATU
Middle Name:
Last Name:BAH
Suffix:
Gender:F
Credentials:RN, MSN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7545 CANTER RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-4918
Mailing Address - Country:US
Mailing Address - Phone:614-772-0448
Mailing Address - Fax:
Practice Address - Street 1:7534 CANTER RIDGE LANE
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-3508
Practice Address - Country:US
Practice Address - Phone:614-772-0448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-07
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.351621163W00000X
OHF06212488363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse