Healthcare Provider Details

I. General information

NPI: 1649116633
Provider Name (Legal Business Name): GINA RENEE RANCITELLI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4241 RUDY RD
COLUMBUS OH
43214-2945
US

IV. Provider business mailing address

4241 RUDY RD
COLUMBUS OH
43214-2945
US

V. Phone/Fax

Practice location:
  • Phone: 380-997-5212
  • Fax: 614-365-5505
Mailing address:
  • Phone: 380-997-5212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number236431
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: