Healthcare Provider Details

I. General information

NPI: 1154020329
Provider Name (Legal Business Name): KARINA FOOTS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2023
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MORROW COUNTY HOSPITAL 651 W. MARION ST
MT GILEAD OH
43338
US

IV. Provider business mailing address

PO BOX 278
POWELL OH
43065-0278
US

V. Phone/Fax

Practice location:
  • Phone: 419-946-5015
  • Fax:
Mailing address:
  • Phone: 614-892-5365
  • Fax: 614-356-8540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAG01230018
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number003302
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: