Provider Demographics
NPI:1376383810
Name:AKUA, NIALAH LATRICE
Entity type:Individual
Prefix:
First Name:NIALAH
Middle Name:LATRICE
Last Name:AKUA
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 1:6856 GARDEN TERRACE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-7057
Mailing Address - Country:US
Mailing Address - Phone:205-847-7732
Mailing Address - Fax:
Practice Address - Street 1:6856 GARDEN TERRACE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-7057
Practice Address - Country:US
Practice Address - Phone:205-847-7732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty