Provider Demographics
NPI:1710951991
Name:YEBOAH, JULIANA AFUA (LPN)
Entity Type:Individual
Prefix:MRS
First Name:JULIANA
Middle Name:AFUA
Last Name:YEBOAH
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:JULIANA
Other - Middle Name:AFUA
Other - Last Name:ANQUANDAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:793 MIDDLEBURY WAY
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-8679
Mailing Address - Country:US
Mailing Address - Phone:614-804-6818
Mailing Address - Fax:740-881-6818
Practice Address - Street 1:793 MIDDLEBURY WAY
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-8679
Practice Address - Country:US
Practice Address - Phone:614-804-6818
Practice Address - Fax:740-881-6818
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN. 101543164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2586063OtherIP