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NPI Code Detail

MEDICARE: CAITLIN MARIE IMHOFF

MEDICARE: CAITLIN MARIE IMHOFF
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
1363LF0000XFamily Nurse PractitionerAPRN.CNP.022879OH

General Provider Information

NPI Number : 1932692183
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLIN MARIE IMHOFF
Provider Business Mailing Address
First Line : 45 W WALNUT ST
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-2024
Country : US
Telephone Number : 614-309-1430
Fax Number :
Provider Business Practice Location Address
First Line : 5700 KARL RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-3602
Country : US
Telephone Number : 614-846-5420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2018
Last Update Date : 06/12/2018

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