Provider Demographics
NPI:1245713023
Name:NFON, CAROLINE AYENIKA (RN)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:AYENIKA
Last Name:NFON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 OLIN CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-6109
Mailing Address - Country:US
Mailing Address - Phone:208-571-0836
Mailing Address - Fax:
Practice Address - Street 1:2155 DANA AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45207-1340
Practice Address - Country:US
Practice Address - Phone:513-601-0600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-07
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH416604163WR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0400XNursing Service ProvidersRegistered NurseRehabilitation