Healthcare Provider Details

I. General information

NPI: 1629709225
Provider Name (Legal Business Name): HUSSEIN SALIH APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2022
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3539 CLEVELAND AVE
COLUMBUS OH
43224-2909
US

IV. Provider business mailing address

3539 CLEVELAND AVE
COLUMBUS OH
43224-2909
US

V. Phone/Fax

Practice location:
  • Phone: 614-826-7445
  • Fax: 614-826-7446
Mailing address:
  • Phone: 614-826-7445
  • Fax: 614-826-7446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number10197633-4405
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number10197633-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: