Provider Demographics
NPI:1437356920
Name:AYARKWA, GREGORY AGGREY (LPN)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:AGGREY
Last Name:AYARKWA
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6832 SHARON CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-1215
Mailing Address - Country:US
Mailing Address - Phone:614-226-2687
Mailing Address - Fax:
Practice Address - Street 1:6832 SHARON CT
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-1215
Practice Address - Country:US
Practice Address - Phone:614-226-2687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN125687164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse