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NPI Code Detail

MEDICARE: MARY E CASBARRO APRN-CNP

MEDICARE:   MARY E CASBARRO  APRN-CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LX0001XObstetrics & Gynecology Nurse PractitionerAPRN.CNP.019634OH
2363LF0000XFamily Nurse PractitionerAPRN.CNP.019634OH

General Provider Information

NPI Number : 1346793981
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY E CASBARRO APRN-CNP
Provider Business Mailing Address
First Line : 750 MOUNT CARMEL MALL
Second Line : SUITE 110
City : COLUMBUS
State : OH
Zip : 43222-1553
Country : US
Telephone Number : 614-434-2444
Fax Number :
Provider Business Practice Location Address
First Line : 54 W HIGH ST
Second Line :
City : LONDON
State : OH
Zip : 43140-1075
Country : US
Telephone Number : 614-434-2444
Fax Number : 614-434-2491
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2016
Last Update Date : 10/29/2020

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