| NPI | 1073212627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY RENEE BRANNAN CEO/Family Nurse Practitioner 614-587-7778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 207QA0505X Family Medicine, Adult Medicine | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR1100X Clinic/Center, Research | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2023-12-19 |