Provider Demographics
NPI:1851088231
Name:AIDOO, AMA NYANIBA
Entity Type:Individual
Prefix:MS
First Name:AMA
Middle Name:NYANIBA
Last Name:AIDOO
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 1:3229 GREENBROOK CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43224-1830
Mailing Address - Country:US
Mailing Address - Phone:614-290-4902
Mailing Address - Fax:
Practice Address - Street 1:3229 GREENBROOK CT
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43224-1830
Practice Address - Country:US
Practice Address - Phone:614-290-4902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.504112163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice