Registry details
Type
Individual
Primary specialty
Nurse Practitioner
Enumerated
Mar 7, 2023
License(s)
APRN.CNP.0033052 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 4125 W BROAD ST | Columbus, OH 43228-1600 | 614-824-2840 |
| MAILING | 5807 AINSLEY AVE | Columbus, OH 43230-8336 | 614-641-5101 |
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