LERATO DENISE MODISELLE

COLUMBUS, OH
NPI1578445243
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LC0200X Nurse Practitioner, Critical Care Medicine
(Licence: OH  APRN.CNP.0038168)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: OH  APRN.CNP.0038168)
Enumeration Date2025-07-23
Last Update Date2025-08-29
Business Address
LERATO DENISE MODISELLE CNP
460 W 10TH AVE
COLUMBUS, OH 43210-1240
Phone number: 614-293-5066
Mailing Address
LERATO DENISE MODISELLE CNP
700 ACKERMAN RD STE 2120
COLUMBUS, OH 43202-1559
Phone number: 614-293-5066