| NPI | 1073075438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH KONIKA President 614-458-8283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 261Q00000X Clinic/Center | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QS1000X Clinic/Center, Student Health | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-06-11 |