MEDICARE: MESHACK MUTTEN

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
1	164W00000X	Licensed Practical Nurse	159063	OH

General Provider Information

NPI Number	:	1629456421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MESHACK MUTTEN

Provider Business Mailing Address
First Line	:	4157 BEECHWOLD DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-1822
Country	:	US
Telephone Number	:	717-538-3887
Fax Number	:

Provider Business Practice Location Address
First Line	:	4157 BEECHWOLD DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-1822
Country	:	US
Telephone Number	:	717-538-3887
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2015
Last Update Date	:	05/12/2015

Similar Medicare Providers

1467585950 — MS. TONYA MARIA SMITH STNA
Practice Location Address:

1822 SURREY PL
COLUMBUS, OH
43219-2947

Practice Phone: 614-251-0979
Practice Fax:

1356852172 — HELPING HAND CARE PROVIDER, LLC
Practice Location Address:

1822 NEWFIELD RD
COLUMBUS, OH
43209-3267

Practice Phone: 614-772-4566
Practice Fax:

1538710546 — PALM'S TRANSIT LLC
Practice Location Address:

6410 BUSCH BLVD APT 479
COLUMBUS, OH
43229-1822

Practice Phone: 614-966-5764
Practice Fax:

1720857295 — DANIEL M STURKEY
Practice Location Address:

1138 BRYDEN RD
COLUMBUS, OH
43205-1822

Practice Phone: 614-208-0530
Practice Fax:

1235930983 — ELISSA FABEOLA CISNEROS
Practice Location Address:

1822 16TH ST
COLUMBUS, NE
68601-4507

Practice Phone: 402-835-9653
Practice Fax:

1477488591 — ROXANE DAVIS SMITH
Practice Location Address:

2747 AGLER RD
COLUMBUS, OH
43224-4615

Practice Phone: 614-416-8500
Practice Fax:

Directions to “ MESHACK MUTTEN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.