| NPI | 1487179420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA A SKIPPER Owner 614-636-3510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.285897-COA-1) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2022-07-21 |