| NPI | 1538903117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE R HARTGROVE Ap RN 614-306-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2025-10-09 |