Provider Demographics
NPI:1699384065
Name:FRIMPONG, NANA AGYEMAN
Entity Type:Individual
Prefix:
First Name:NANA
Middle Name:AGYEMAN
Last Name:FRIMPONG
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 1:1207 SNIPE VIEW LOOP E
Mailing Address - Street 2:
Mailing Address - City:BLACKLICK
Mailing Address - State:OH
Mailing Address - Zip Code:43004-3503
Mailing Address - Country:US
Mailing Address - Phone:614-599-1046
Mailing Address - Fax:
Practice Address - Street 1:1207 SNIPE VIEW LOOP E
Practice Address - Street 2:
Practice Address - City:BLACKLICK
Practice Address - State:OH
Practice Address - Zip Code:43004-3503
Practice Address - Country:US
Practice Address - Phone:614-599-1046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-30
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN357424163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health