MEDICARE: ARDO DAHIR APRN, CNP, PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN.CNP.0035086	OH
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RN.475678	OH

General Provider Information

NPI Number	:	1043083181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARDO DAHIR APRN, CNP, PMHNP

Provider Business Mailing Address
First Line	:	2403 VINING DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-4090
Country	:	US
Telephone Number	:
Fax Number	:	614-515-2435

Provider Business Practice Location Address
First Line	:	2700 E DUBLIN GRANVILLE RD STE 280
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-4090
Country	:	US
Telephone Number	:	614-929-0959
Fax Number	:	614-515-2435

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2023
Last Update Date	:	09/11/2025

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