| NPI | 1326566738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA OVERCOMER Senior Nurse Practitioner 614-500-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261Q00000X Clinic/Center | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2019-05-13 |