Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Mary Adu Boatemaa

Individual provider Registered Nurse · NPI 1306122411

Miss. Mary Adu Boatemaa is a Nurse Practitioner in Columbus, Ohio. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Ohio.

Years since qualifying
2
Licensed in
OH
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

1430 S High St
Columbus, OH 43207-1045
Phone: (614) 599-0564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN.CNP.0038309 (OH)
Registered Nurse Taxonomy 163W00000X · Licence RN.436394 (OH)

Record details

NPI number1306122411
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 2, 2011
Last updated in NPPESJanuary 1, 2025
Certification dateJanuary 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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