Provider Demographics
NPI:1457631343
Name:YEBOAH, SONIA AP (LPN)
Entity Type:Individual
Prefix:MISS
First Name:SONIA
Middle Name:AP
Last Name:YEBOAH
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9435 WATERSTONE BLVD STE 140-81
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-8226
Mailing Address - Country:US
Mailing Address - Phone:513-371-8920
Mailing Address - Fax:
Practice Address - Street 1:9435 WATERSTONE BLVD STE 140-81
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-8226
Practice Address - Country:US
Practice Address - Phone:513-371-8920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-23
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN129483164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse