Healthcare Provider Details

I. General information

NPI: 1821105875
Provider Name (Legal Business Name): OHIO NURSE PRACTITIONERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2718 MOUNT HOLYOKE RD
COLUMBUS OH
43221-3425
US

IV. Provider business mailing address

2718 MOUNT HOLYOKE RD
COLUMBUS OH
43221-3425
US

V. Phone/Fax

Practice location:
  • Phone: 614-486-8303
  • Fax: 614-486-8304
Mailing address:
  • Phone: 614-486-8303
  • Fax: 614-486-8304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number StateOH

VIII. Authorized Official

Name: MS. KATHRYN R MAXWELL
Title or Position: PRESIDENT
Credential: RN
Phone: 614-486-8303