| NPI | 1770363525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VASKEYSA COOLEY VP Of Payer Strategy 614-598-5329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2024-06-04 |