Healthcare Provider Details

I. General information

NPI: 1326440587
Provider Name (Legal Business Name): STEPHANIE DAMAN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE BARBER

II. Dates (important events)

Enumeration Date: 09/19/2014
Last Update Date: 01/25/2022
Certification Date: 03/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 OLENTANGY RIVER RD
COLUMBUS OH
43214-3908
US

IV. Provider business mailing address

5450 FRANTZ RD STE 360
DUBLIN OH
43016-4141
US

V. Phone/Fax

Practice location:
  • Phone: 615-566-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberCOA.16545-NS
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN.CNP.020238
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: