Provider Demographics
NPI:1952699563
Name:SESAY, YEALIE ABIE (LICENSE PRACTICAL NU)
Entity Type:Individual
Prefix:MISS
First Name:YEALIE
Middle Name:ABIE
Last Name:SESAY
Suffix:
Gender:F
Credentials:LICENSE PRACTICAL NU
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4757 KINGSHILL DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-6287
Mailing Address - Country:US
Mailing Address - Phone:703-870-0943
Mailing Address - Fax:
Practice Address - Street 1:4757 KINGSHILL DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-6287
Practice Address - Country:US
Practice Address - Phone:703-870-0943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-16
Last Update Date:2011-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN-118445164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse