Provider Demographics
NPI:1669758140
Name:YIRENKYI, MILLICENT AFUA
Entity type:Individual
Prefix:
First Name:MILLICENT
Middle Name:AFUA
Last Name:YIRENKYI
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 1:173 SYCAMORE LN
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-7567
Mailing Address - Country:US
Mailing Address - Phone:614-776-4515
Mailing Address - Fax:
Practice Address - Street 1:1001 EASTWIND DR STE 305
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-3361
Practice Address - Country:US
Practice Address - Phone:614-776-4515
Practice Address - Fax:614-392-0777
Is Sole Proprietor?:No
Enumeration Date:2011-10-27
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.131089-M-IV164W00000X
OHF09220047363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No164W00000XNursing Service ProvidersLicensed Practical Nurse