Healthcare Provider Details

I. General information

NPI: 1346988151
Provider Name (Legal Business Name): MEREDITH BROOKE HAUSMANN APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2022
Last Update Date: 05/09/2023
Certification Date: 05/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W 10TH AVE FL 1
COLUMBUS OH
43210-1280
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-685-1965
  • Fax: 614-293-4281
Mailing address:
  • Phone: 614-685-1965
  • Fax: 614-293-4281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0031372
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: