Healthcare Provider Details

I. General information

NPI: 1760457170
Provider Name (Legal Business Name): STEPHANIE A BEIER-PHILLIPS MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2006
Last Update Date: 02/14/2022
Certification Date: 02/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 S CLEVELAND AVE STE D
WESTERVILLE OH
43081-8958
US

IV. Provider business mailing address

550 S CLEVELAND AVE. STE D
WESTERVILLE OH
43081-8958
US

V. Phone/Fax

Practice location:
  • Phone: 614-865-7600
  • Fax: 614-392-2546
Mailing address:
  • Phone: 614-865-7600
  • Fax: 614-392-2546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberNP07425
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRNCNP072425
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: