Provider Demographics
NPI:1487365961
Name:YANNI-FORD, EDWINA
Entity type:Individual
Prefix:
First Name:EDWINA
Middle Name:
Last Name:YANNI-FORD
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 1:5988 ENDICOTT RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-2632
Mailing Address - Country:US
Mailing Address - Phone:614-749-2553
Mailing Address - Fax:
Practice Address - Street 1:5988 ENDICOTT RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-2632
Practice Address - Country:US
Practice Address - Phone:614-749-2553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-06
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver
No374U00000XNursing Service Related ProvidersHome Health Aide