Healthcare Provider Details
I. General information
NPI: 1700340999
Provider Name (Legal Business Name): BARBARA A. DRISCOLL APRN.CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/22/2019
Last Update Date: 05/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2050 KENNY RD
COLUMBUS OH
43221-3502
US
IV. Provider business mailing address
700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US
V. Phone/Fax
- Phone: 614-293-4925
- Fax: 614-293-5503
- Phone: 614-293-4925
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WE0003X |
| Taxonomy | Emergency Registered Nurse |
| License Number | RN-414956 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 227900000X |
| Taxonomy | Registered Respiratory Therapist |
| License Number | RCP.6494 |
| License Number State | OH |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | APRN.CNP.024175 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: