Provider Demographics
NPI:1437732278
Name:APIYO, OTIENO SUSAN (STNA)
Entity Type:Individual
Prefix:
First Name:OTIENO
Middle Name:SUSAN
Last Name:APIYO
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5530 CARY LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-4786
Mailing Address - Country:US
Mailing Address - Phone:614-596-8084
Mailing Address - Fax:
Practice Address - Street 1:5530 CARY LN
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-4786
Practice Address - Country:US
Practice Address - Phone:614-596-8084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide