Healthcare Provider Details

I. General information

NPI: 1265891907
Provider Name (Legal Business Name): MICHELE R. CASH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2016
Last Update Date: 07/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

899 E BROAD ST FL 4
COLUMBUS OH
43205-1156
US

IV. Provider business mailing address

8261 NORTHWOODS CT
COLUMBUS OH
43235-4613
US

V. Phone/Fax

Practice location:
  • Phone: 614-928-9400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License NumberNS07213
License Number StateOH

VIII. Authorized Official

Name: DR. MICHELE R CASH
Title or Position: NURSE PRACTITIONER
Credential: DNP, APN, CNS
Phone: 614-783-4941