Provider Demographics
NPI:1508172958
Name:AGBOR, RELINDIS EYONGHE (FNP-C)
Entity Type:Individual
Prefix:
First Name:RELINDIS
Middle Name:EYONGHE
Last Name:AGBOR
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:RELINDIS
Other - Middle Name:EYONGHE
Other - Last Name:AGBOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-C
Mailing Address - Street 1:575 BELLOW PARK CT
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-9339
Mailing Address - Country:US
Mailing Address - Phone:614-626-2305
Mailing Address - Fax:
Practice Address - Street 1:4523 CEMETERY RD
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-1102
Practice Address - Country:US
Practice Address - Phone:614-876-1618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-24
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN. 124674164W00000X
OHRN.425793363LF0000X
OHF04230075363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No164W00000XNursing Service ProvidersLicensed Practical Nurse