Healthcare Provider Details

I. General information

NPI: 1205307170
Provider Name (Legal Business Name): MARJORIE HATSZEGI CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2018
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 AFRICA RD STE 320
WESTERVILLE OH
43082-9830
US

IV. Provider business mailing address

625 AFRICA RD STE 320
WESTERVILLE OH
43082-9830
US

V. Phone/Fax

Practice location:
  • Phone: 614-508-0110
  • Fax: 614-508-0109
Mailing address:
  • Phone: 614-508-0110
  • Fax: 614-508-0109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number023936
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: