Provider Demographics
NPI:1942813969
Name:LARTEY, NANCY ODOI
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:ODOI
Last Name:LARTEY
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 1:2711 APEX CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-5041
Mailing Address - Country:US
Mailing Address - Phone:513-580-2037
Mailing Address - Fax:
Practice Address - Street 1:2711 APEX CT
Practice Address - Street 2:
Practice Address - City:FAIRFIELD TWP
Practice Address - State:OH
Practice Address - Zip Code:45011-5041
Practice Address - Country:US
Practice Address - Phone:513-580-2037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program