Healthcare Provider Details
I. General information
NPI: 1871598755
Provider Name (Legal Business Name): VALARIE A. POMPEY APRN.CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/16/2005
Last Update Date: 05/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
410 W 10TH AVE
COLUMBUS OH
43210-1240
US
IV. Provider business mailing address
700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US
V. Phone/Fax
- Phone: 614-293-2957
- Fax: 614-688-3700
- Phone: 614-293-2957
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | APRN.CNP.15770 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | 71001587A |
| License Number State | IN |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | 4704166593 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: