Healthcare Provider Details

I. General information

NPI: 1073865481
Provider Name (Legal Business Name): THERESE E. HOPKIN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: THERESE E. SVAROVSKY CNP

II. Dates (important events)

Enumeration Date: 10/09/2012
Last Update Date: 01/25/2022
Certification Date: 02/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 MCCONNELL DR
COLUMBUS OH
43214-3463
US

IV. Provider business mailing address

5450 FRANTZ RD STE 360
DUBLIN OH
43016-4141
US

V. Phone/Fax

Practice location:
  • Phone: 614-566-7255
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRNCNP13964
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberCOA-13964-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: