Provider Demographics
NPI:1144001280
Name:FREMPONG, NAANA KONADU (RN)
Entity type:Individual
Prefix:
First Name:NAANA
Middle Name:KONADU
Last Name:FREMPONG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14018 SUNLADEN DR SW
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-7508
Mailing Address - Country:US
Mailing Address - Phone:862-215-3474
Mailing Address - Fax:
Practice Address - Street 1:14018 SUNLADEN DR SW
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-7508
Practice Address - Country:US
Practice Address - Phone:862-215-3474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-12
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.332070163WC1600X, 163W00000X
373H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist