Individual
ABA MBORABA ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
830 EZZARD CHARLES DR, CINCINNATI, OH 45214-2525
(513) 381-6672
Mailing address
6173 ZOELLNERS PL, FAIRFIELD TOWNSHIP, OH 45011-1026
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN.CNP.026485
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CPN.026485
OH
Other
Enumeration date
05/08/2020
Last updated
09/25/2024
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