Provider Demographics
NPI:1437362688
Name:NYAMOR, HELEN IDOO (RN)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:IDOO
Last Name:NYAMOR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 FLEMING RD
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:OH
Mailing Address - Zip Code:45231-4007
Mailing Address - Country:US
Mailing Address - Phone:513-521-3858
Mailing Address - Fax:513-771-0813
Practice Address - Street 1:260 NORTHLAND BLVD
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:OH
Practice Address - Zip Code:45246-4917
Practice Address - Country:US
Practice Address - Phone:513-521-1415
Practice Address - Fax:513-771-0813
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN. 249158163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2702374Medicaid