Healthcare Provider Details

I. General information

NPI: 1518861913
Provider Name (Legal Business Name): KARA POLICHETTI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1433 DELCASTLE LOOP
GROVE CITY OH
43123-7928
US

IV. Provider business mailing address

1433 DELCASTLE LOOP
GROVE CITY OH
43123-7928
US

V. Phone/Fax

Practice location:
  • Phone: 740-505-3883
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN.409885
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: