Healthcare Provider Details

I. General information

NPI: 1871873638
Provider Name (Legal Business Name): EVA MARIE PRICE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2011
Last Update Date: 08/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3346 SUFFIELD
COLUMBUS OH
43232-7533
US

IV. Provider business mailing address

3346 SUFFIELD
COLUMBUS OH
43232-7533
US

V. Phone/Fax

Practice location:
  • Phone: 614-348-0851
  • Fax:
Mailing address:
  • Phone: 614-348-0851
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: