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NPI Code Detail

MEDICARE: CRANIUM HEALTH LLC

MEDICARE: CRANIUM HEALTH LLC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1558225862
Entity Type Code : Organization
Provider Name (Legal Business Name) : CRANIUM HEALTH LLC
Provider Business Mailing Address
First Line : 2323 W 5TH AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-4899
Country : US
Telephone Number : 380-721-9038
Fax Number : 380-721-9038
Provider Business Practice Location Address
First Line : 2323 W 5TH AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-4899
Country : US
Telephone Number : 380-721-9038
Fax Number : 380-721-9038
Authorized Official
Title or Position : CNP/OWNER
Name : DANIEL PATRICK DISALVO
Credential : CNP
Telephone Number : 380-721-9038
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

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Directions to “CRANIUM HEALTH LLC ” Practice Location

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