Healthcare Provider Details

I. General information

NPI: 1982440749
Provider Name (Legal Business Name): CONOR LARKIN FLAHERTY APRN-CNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2024
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6700 UNIVERSITY BLVD STE 4C
DUBLIN OH
43016-3508
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-685-3333
  • Fax: 614-366-0345
Mailing address:
  • Phone: 614-685-3333
  • Fax: 614-366-0345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF06241244
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0040698
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: