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NPI Code Detail

MEDICARE: ASHLEY LAUREN NERUSU APRN-CNP

MEDICARE:   ASHLEY LAUREN NERUSU  APRN-CNP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner00057478OH
2163W00000XRegistered Nurse485521OH

General Provider Information

NPI Number : 1376341941
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY LAUREN NERUSU APRN-CNP
Provider Business Mailing Address
First Line : 2025 RIVERSIDE DR STE 618
Second Line :
City : COLUMBUS
State : OH
Zip : 43221-4012
Country : US
Telephone Number : 614-324-9099
Fax Number : 614-675-9329
Provider Business Practice Location Address
First Line : 2025 RIVERSIDE DR STE 618
Second Line :
City : COLUMBUS
State : OH
Zip : 43221-4012
Country : US
Telephone Number : 614-293-3333
Fax Number : 614-324-9099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2025
Last Update Date : 03/05/2026

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Directions to “ ASHLEY LAUREN NERUSU APRN-CNP” Practice Location

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