Provider Demographics
NPI:1750687430
Name:AVOWLANOU, AKOSSIWA (LPN)
Entity Type:Individual
Prefix:
First Name:AKOSSIWA
Middle Name:
Last Name:AVOWLANOU
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 CHESFORD RD
Mailing Address - Street 2:APT#3D
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43224-1774
Mailing Address - Country:US
Mailing Address - Phone:614-806-5811
Mailing Address - Fax:
Practice Address - Street 1:4301 CHESFORD RD
Practice Address - Street 2:APT#3D
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43224-1774
Practice Address - Country:US
Practice Address - Phone:614-806-5811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-28
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN-136488164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse