Healthcare Provider Details

I. General information

NPI: 1013689744
Provider Name (Legal Business Name): KHRISTEEN DANIELLE MCGLONE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KHRISTEEN DANIELLE BORAH FNP

II. Dates (important events)

Enumeration Date: 09/30/2021
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1356 CHERRY WAY DR
COLUMBUS OH
43230-6775
US

IV. Provider business mailing address

1356 CHERRY WAY DR
COLUMBUS OH
43230-6775
US

V. Phone/Fax

Practice location:
  • Phone: 614-246-6900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0027985
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: