Healthcare Provider Details
I. General information
NPI: 1851461701
Provider Name (Legal Business Name): MICHELE R SIKORSKI CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/08/2006
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6455 POST RD STE B
DUBLIN OH
43016-1225
US
IV. Provider business mailing address
870 HIGH ST STE 105
WORTHINGTON OH
43085-4141
US
V. Phone/Fax
- Phone: 216-468-5000
- Fax:
- Phone: 614-468-1103
- Fax: 614-468-1052
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0200X |
| Taxonomy | Pediatric Nurse Practitioner |
| License Number | NP-06649 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 364SP0808X |
| Taxonomy | Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | NS-07213 |
| License Number State | OH |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LN0005X |
| Taxonomy | Critical Care Neonatal Nurse Practitioner |
| License Number | NP-06649 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: