Provider Demographics
NPI:1447483300
Name:KAMARA, ELFREDA SANDO (RN)
Entity type:Individual
Prefix:MS
First Name:ELFREDA
Middle Name:SANDO
Last Name:KAMARA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6940 IOLA BOAT LN
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-8202
Mailing Address - Country:US
Mailing Address - Phone:614-829-6355
Mailing Address - Fax:
Practice Address - Street 1:6940 IOLA BOAT LN
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-8202
Practice Address - Country:US
Practice Address - Phone:614-829-6355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-26
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN339147163W00000X
OHRN 339147374T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing Personnel