Provider Demographics
NPI:1174776371
Name:BADU, NAANA BOAHEMAA
Entity type:Individual
Prefix:
First Name:NAANA
Middle Name:BOAHEMAA
Last Name:BADU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 BRIDLE PASS WAY
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:OH
Mailing Address - Zip Code:45050-1486
Mailing Address - Country:US
Mailing Address - Phone:513-580-9546
Mailing Address - Fax:513-580-9546
Practice Address - Street 1:255 BRIDLE PASS WAY
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:OH
Practice Address - Zip Code:45050
Practice Address - Country:US
Practice Address - Phone:513-580-9546
Practice Address - Fax:513-580-9546
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-31
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN126198164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse