Registry details
Type
Individual
Primary specialty
Nurse Practitioner
Enumerated
Nov 6, 2023
License(s)
APRN.CNP.0033269 (OH), APRN.CNP.0033269 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 543 TAYLOR AVE | Columbus, OH 43203-1278 | 614-293-8487 |
| MAILING | 700 ACKERMAN RD STE 2120 | Columbus, OH 43202-1559 | 614-293-8487 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.