Individual
MISS MARY ADU BOATEMAA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 S HIGH ST, COLUMBUS, OH 43207-1045
(614) 599-0564
Mailing address
5666 KINGSHIP LOOP, COLUMBUS, OH 43231-3009
(614) 599-0564
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.436394
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0038309
OH
Other
Enumeration date
11/02/2011
Last updated
01/01/2025
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