BREANNA M DETRICK

COLUMBUS, OH
NPI1427438829
Former NameBREANNA M TANLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OH  COA.17379-NP)
Enumeration Date2015-06-02
Last Update Date2024-10-07
Business Address
BREANNA M DETRICK CNP
3830 OLENTANGY RIVER RD
COLUMBUS, OH 43214-5404
Phone number: 614-788-8334
Mailing Address
BREANNA M DETRICK CNP
PO BOX 7527
DUBLIN, OH 43017-0727
Phone number: 614-788-8334