Healthcare Provider Details

I. General information

NPI: 1417794256
Provider Name (Legal Business Name): AMIRA BEN AMER ORR RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2024
Last Update Date: 07/22/2024
Certification Date: 07/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 E MAIN ST
COLUMBUS OH
43215-5222
US

IV. Provider business mailing address

255 E MAIN ST
COLUMBUS OH
43215-5222
US

V. Phone/Fax

Practice location:
  • Phone: 614-722-4867
  • Fax: 614-722-4380
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN.534935
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: