Provider Demographics
NPI:1861723827
Name:AKOMAH-DONKOR, THEOPHILIA OBENEWAA (FNP)
Entity type:Individual
Prefix:
First Name:THEOPHILIA
Middle Name:OBENEWAA
Last Name:AKOMAH-DONKOR
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4465 BROOKVIEW PL
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-1396
Mailing Address - Country:US
Mailing Address - Phone:614-596-4506
Mailing Address - Fax:
Practice Address - Street 1:4465 BROOKVIEW PL
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-1396
Practice Address - Country:US
Practice Address - Phone:614-596-4506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-14
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN351329163W00000X
OHCNP.0028057363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse