Provider Demographics
NPI:1588804207
Name:NYAMAAH MCCLAIN, VERA
Entity Type:Individual
Prefix:
First Name:VERA
Middle Name:
Last Name:NYAMAAH MCCLAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6914 MONTGOMERY RD
Mailing Address - Street 2:APT 6
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-3856
Mailing Address - Country:US
Mailing Address - Phone:513-206-3750
Mailing Address - Fax:
Practice Address - Street 1:6914 MONTGOMERY RD
Practice Address - Street 2:APT 6
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-3856
Practice Address - Country:US
Practice Address - Phone:513-206-3750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-21
Last Update Date:2009-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHTL767870163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse