Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Aug 21, 2014
License(s)
APRN.CNP.16253 (OH), COA. 16253-NP (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 460 W 10TH AVE | Columbus, OH 43210-1240 | 614-293-5066 |
| MAILING | 700 ACKERMAN RD STE 2120 | Columbus, OH 43202-1559 | 614-293-5066 |
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