Provider Demographics
NPI:1326761990
Name:ASIAGO, ZIPPORAH M (NP)
Entity Type:Individual
Prefix:
First Name:ZIPPORAH
Middle Name:M
Last Name:ASIAGO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ZIPPORAH
Other - Middle Name:M
Other - Last Name:MBUGUA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:660 BROOKLEDGE CT
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44067-3086
Mailing Address - Country:US
Mailing Address - Phone:302-229-7749
Mailing Address - Fax:
Practice Address - Street 1:660 BROOKLEDGE CT
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:OH
Practice Address - Zip Code:44067-3086
Practice Address - Country:US
Practice Address - Phone:302-229-7749
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH000000000000163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health