Provider Demographics
NPI:1174830632
Name:MENSAH GASU, ALBERTA ADOBEA (LPN)
Entity Type:Individual
Prefix:
First Name:ALBERTA
Middle Name:ADOBEA
Last Name:MENSAH GASU
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 1:8226 GREEN TREE CT
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-7269
Mailing Address - Country:US
Mailing Address - Phone:614-446-7409
Mailing Address - Fax:
Practice Address - Street 1:8226 GREEN TREE CT
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-7269
Practice Address - Country:US
Practice Address - Phone:614-446-7409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-04
Last Update Date:2010-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 137493164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse