| NPI | 1922374701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA ANN ELLIS Chief Financial Officer 614-251-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |