Provider Demographics
NPI:1992016745
Name:NGAYAP, IRENE MENGOH
Entity Type:Individual
Prefix:
First Name:IRENE
Middle Name:MENGOH
Last Name:NGAYAP
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 1:8278 STORROW DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-5004
Mailing Address - Country:US
Mailing Address - Phone:614-495-6272
Mailing Address - Fax:
Practice Address - Street 1:8278 STORROW DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-5004
Practice Address - Country:US
Practice Address - Phone:614-495-6272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-26
Last Update Date:2010-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN360428163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse