Provider Demographics
NPI:1801163753
Name:NOUNAMO AAMKOUMEU, EMILE ROGER
Entity type:Individual
Prefix:MR
First Name:EMILE ROGER
Middle Name:
Last Name:NOUNAMO AAMKOUMEU
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 1:45 SCOTT CT
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-4947
Mailing Address - Country:US
Mailing Address - Phone:614-515-7537
Mailing Address - Fax:
Practice Address - Street 1:45 SCOTT CT
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-4947
Practice Address - Country:US
Practice Address - Phone:614-515-7537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-21
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.141653164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse