Healthcare Provider Details

I. General information

NPI: 1730837816
Provider Name (Legal Business Name): DIANA MARCELA PEREIRA APRN-CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DIANA ECHAVARRIA

II. Dates (important events)

Enumeration Date: 03/16/2022
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 W 10TH AVE
COLUMBUS OH
43210-1328
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-3069
  • Fax: 614-366-8772
Mailing address:
  • Phone: 614-293-3069
  • Fax: 614-366-8772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN.CNM.0019547
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.381816
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: