Pedro Nsoh Apesemah

Individual provider Active NPI Licensed Practical Nurse · Fairfield, OH

NPI 1598038176 · NPPES record last updated Feb 13, 2012

Key facts

NPI
1598038176
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN134157-IV (OH)
Practice address
5500 Camelot Dr
Apt #1
Fairfield, OH 45014-4089
Phone
(513) 205-3322
NPI assigned
Feb 13, 2012
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PN134157-IVOHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN134157-IV OH Yes

Addresses

Primary practice location

5500 Camelot Dr
Apt #1
Fairfield, OH 45014-4089

Mailing address

5500 Camelot Dr
Apt #1
Fairfield, OH 45014-4089
Phone (513) 205-3322

Other names

  • Pedro Nsoh Apesemah Professional name

Other providers in Fairfield, OH

All providers in Fairfield, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.