Provider Demographics
NPI:1356193080
Name:YENGBIE, HAWA C
Entity type:Individual
Prefix:
First Name:HAWA
Middle Name:C
Last Name:YENGBIE
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 1:3969 WILLOWWALK LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-3906
Mailing Address - Country:US
Mailing Address - Phone:614-948-8838
Mailing Address - Fax:
Practice Address - Street 1:3969 WILLOWWALK LN
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-3906
Practice Address - Country:US
Practice Address - Phone:614-948-8838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker