Healthcare Provider Details

I. General information

NPI: 1154212215
Provider Name (Legal Business Name): ALLISON MARIE TEWART-DARWIN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2025
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 W BROAD ST
COLUMBUS OH
43223-1297
US

IV. Provider business mailing address

580 LANDOVER PL
COLUMBUS OH
43230-4375
US

V. Phone/Fax

Practice location:
  • Phone: 614-752-0333
  • Fax:
Mailing address:
  • Phone: 614-404-9045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0040384
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN.352031
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: