Healthcare Provider Details

I. General information

NPI: 1164559324
Provider Name (Legal Business Name): PATRICIA KREAGER RNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 OLENTANGY RIVER RD SUITE 6350
COLUMBUS OH
43214-3937
US

IV. Provider business mailing address

7821 RIDGE RD
ZANESVILLE OH
43701-8283
US

V. Phone/Fax

Practice location:
  • Phone: 614-734-3347
  • Fax:
Mailing address:
  • Phone: 740-454-7441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number166386COA1
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: