Healthcare Provider Details

I. General information

NPI: 1710421961
Provider Name (Legal Business Name): DUSTIN HARMEYER FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2016
Last Update Date: 05/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5151 REED RD STE 200A
COLUMBUS OH
43220-2598
US

IV. Provider business mailing address

655 AFRICA RD
WESTERVILLE OH
43082-9808
US

V. Phone/Fax

Practice location:
  • Phone: 614-865-3125
  • Fax: 614-273-0520
Mailing address:
  • Phone: 143-262-6726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.020274
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: