Healthcare Provider Details

I. General information

NPI: 1790587251
Provider Name (Legal Business Name): ILHAN MUSE ALI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 E TOWN ST STE 4300
COLUMBUS OH
43215-4601
US

IV. Provider business mailing address

PO BOX 7527
DUBLIN OH
43017-0727
US

V. Phone/Fax

Practice location:
  • Phone: 614-788-4699
  • Fax: 614-533-0471
Mailing address:
  • Phone: 614-788-6010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.0039615
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: