| NPI | 1457014599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A. WADEI Family Nurse Practitioner 614-574-1823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2024-10-30 |