Healthcare Provider Details

I. General information

NPI: 1043602311
Provider Name (Legal Business Name): NANCY NEAL RN, PHCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2015
Last Update Date: 02/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9136 MOORS PL N
DUBLIN OH
43017-8277
US

IV. Provider business mailing address

9136 MOORS PL N
DUBLIN OH
43017-8277
US

V. Phone/Fax

Practice location:
  • Phone: 614-581-6363
  • Fax: 614-717-9101
Mailing address:
  • Phone: 614-581-6363
  • Fax: 614-717-9101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License NumberRN194707
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: