| NPI | 1174242788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE A SELAM Doctor Of Nursing Practice 614-483-8595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-08-25 |