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NPI Code Detail

MEDICARE: ELIZA HERALD NURSE PRACTITIONER

MEDICARE:   ELIZA  HERALD  NURSE PRACTITIONER
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
1363LA2100XAcute Care Nurse PractitionerAPRN.CNP.0042133OH

General Provider Information

NPI Number : 1346178662
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZA HERALD NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 3525 OLENTANGY RIVER RD STE 5300
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-3937
Country : US
Telephone Number : 937-000-0000
Fax Number :
Provider Business Practice Location Address
First Line : 3525 OLENTANGY RIVER RD STE 5300
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-3937
Country : US
Telephone Number : 937-000-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2026
Last Update Date : 06/17/2026

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Directions to “ ELIZA HERALD NURSE PRACTITIONER” Practice Location

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