Provider Demographics
NPI:1275885402
Name:HOWARD, JULIANA AGYEI (LPN)
Entity Type:Individual
Prefix:MS
First Name:JULIANA
Middle Name:AGYEI
Last Name:HOWARD
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MR
Other - First Name:COSMOS
Other - Middle Name:AMPABENG
Other - Last Name:CHEREME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:4132 VINESHIRE LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43227-3654
Mailing Address - Country:US
Mailing Address - Phone:614-446-2479
Mailing Address - Fax:
Practice Address - Street 1:4132 VINESHIRE LN
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43227-3654
Practice Address - Country:US
Practice Address - Phone:614-446-2479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-11
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN130922164W00000X, 167G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes167G00000XNursing Service ProvidersLicensed Psychiatric Technician
No164W00000XNursing Service ProvidersLicensed Practical Nurse