Provider Demographics
NPI:1275207623
Name:TWUMASI, SHARON ASARE
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:ASARE
Last Name:TWUMASI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6223 KINVER EDGE WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-5125
Mailing Address - Country:US
Mailing Address - Phone:614-377-1236
Mailing Address - Fax:
Practice Address - Street 1:6223 KINVER EDGE WAY
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-5125
Practice Address - Country:US
Practice Address - Phone:614-377-1236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-08
Last Update Date:2021-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH159491164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty