Provider Demographics
NPI:1104024454
Name:CONTEH, HAJA M (RN)
Entity Type:Individual
Prefix:
First Name:HAJA
Middle Name:M
Last Name:CONTEH
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 1:3978 FOREST EDGE DR
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-1018
Mailing Address - Country:US
Mailing Address - Phone:614-929-1784
Mailing Address - Fax:
Practice Address - Street 1:3978 FOREST EDGE DR
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-1018
Practice Address - Country:US
Practice Address - Phone:614-929-1784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH427183163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse