MEDICARE: ELISE KREMER MSN, APRN, FNP-C

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	363LF0000X	Family Nurse Practitioner	APRN.CNP.0030565	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679224711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELISE KREMER MSN, APRN, FNP-C

Provider Business Mailing Address
First Line	:	3083 HERON POINTE UNIT 203
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-7713
Country	:	US
Telephone Number	:	937-269-6084
Fax Number	:

Provider Business Practice Location Address
First Line	:	5131 BEACON HILL RD STE 110E
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43228-4442
Country	:	US
Telephone Number	:	614-544-1880
Fax Number	:

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

Provider Enumeration Date	:	01/11/2022
Last Update Date	:	06/15/2026

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