Healthcare Provider Details

I. General information

NPI: 1174222335
Provider Name (Legal Business Name): DUNCAN MWANGI CNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2023
Last Update Date: 12/10/2024
Certification Date: 12/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3433 AGLER RD STE 2800
COLUMBUS OH
43219-3389
US

IV. Provider business mailing address

2780 AIRPORT DR STE 100
COLUMBUS OH
43219-2289
US

V. Phone/Fax

Practice location:
  • Phone: 614-645-1699
  • Fax: 614-645-1347
Mailing address:
  • Phone: 614-859-1906
  • Fax: 614-645-5517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-CNP.0033309
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: