Healthcare Provider Details

I. General information

NPI: 1922936699
Provider Name (Legal Business Name): ERROW ELAINE BRADEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXIS ELAINE BRADEN

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2037 TWIN FLOWER CIR
GROVE CITY OH
43123-8024
US

IV. Provider business mailing address

2037 TWIN FLOWER CIR
GROVE CITY OH
43123-8024
US

V. Phone/Fax

Practice location:
  • Phone: 614-886-1359
  • Fax:
Mailing address:
  • Phone: 614-886-1359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: