Provider Demographics
NPI:1740585686
Name:NGQAKAYI, AYOLA RACHELE
Entity Type:Individual
Prefix:
First Name:AYOLA
Middle Name:RACHELE
Last Name:NGQAKAYI
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 1:590 W. LIMESTONE STREET
Mailing Address - Street 2:APT. W
Mailing Address - City:YELLOW SPRINGS
Mailing Address - State:OH
Mailing Address - Zip Code:45387-1722
Mailing Address - Country:US
Mailing Address - Phone:937-767-0301
Mailing Address - Fax:
Practice Address - Street 1:590 W LIMESTONE ST
Practice Address - Street 2:APT. W
Practice Address - City:YELLOW SPRINGS
Practice Address - State:OH
Practice Address - Zip Code:45387-1771
Practice Address - Country:US
Practice Address - Phone:937-767-0301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-25
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.142838-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse