Provider Demographics
NPI:1871807677
Name:SARKODIE, OLIVIA KWAADU (RN)
Entity type:Individual
Prefix:MRS
First Name:OLIVIA
Middle Name:KWAADU
Last Name:SARKODIE
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 1:7479 CLANCY WAY
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-9307
Mailing Address - Country:US
Mailing Address - Phone:614-623-4135
Mailing Address - Fax:
Practice Address - Street 1:7479 CLANCY WAY
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-9307
Practice Address - Country:US
Practice Address - Phone:614-623-4135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-04
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH303549163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical