Provider Demographics
NPI:1710862073
Name:OFFEH NIMOH, BURUWAA
Entity type:Individual
Prefix:
First Name:BURUWAA
Middle Name:
Last Name:OFFEH NIMOH
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 1:5733 POCATELLO DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-4196
Mailing Address - Country:US
Mailing Address - Phone:614-377-8978
Mailing Address - Fax:614-377-8978
Practice Address - Street 1:5733 POCATELLO DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-4196
Practice Address - Country:US
Practice Address - Phone:614-377-8978
Practice Address - Fax:614-377-8978
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH181543164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse