Healthcare Provider Details

I. General information

NPI: 1346751625
Provider Name (Legal Business Name): AUDREY TOMELIN APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2017
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date: 07/12/2024
Reactivation Date: 07/24/2024

III. Provider practice location address

1941 W FAIR AVE
LANCASTER OH
43130-9671
US

IV. Provider business mailing address

570 MONTMORENCY DR S
PICKERINGTON OH
43147-8337
US

V. Phone/Fax

Practice location:
  • Phone: 740-689-3627
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.444452
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0037056
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: