Provider Demographics
NPI:1881379857
Name:NYOH, STEPHANE FUASHI
Entity type:Individual
Prefix:
First Name:STEPHANE
Middle Name:FUASHI
Last Name:NYOH
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 1:422 MIDDLE ST APT B
Mailing Address - Street 2:
Mailing Address - City:FAIRBORN
Mailing Address - State:OH
Mailing Address - Zip Code:45324-4884
Mailing Address - Country:US
Mailing Address - Phone:937-657-2298
Mailing Address - Fax:
Practice Address - Street 1:422 MIDDLE ST APT B
Practice Address - Street 2:
Practice Address - City:FAIRBORN
Practice Address - State:OH
Practice Address - Zip Code:45324-4884
Practice Address - Country:US
Practice Address - Phone:937-657-2298
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide