Provider Demographics
NPI:1750171831
Name:OTOO, NIIARYEE
Entity type:Individual
Prefix:
First Name:NIIARYEE
Middle Name:
Last Name:OTOO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:567 REED AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44301-2307
Mailing Address - Country:US
Mailing Address - Phone:330-283-7876
Mailing Address - Fax:
Practice Address - Street 1:567 REED AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44301-2307
Practice Address - Country:US
Practice Address - Phone:330-283-7876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker