MEDICARE: MR. ADAM SOLLIDAY 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
1	363LA2100X	Acute Care Nurse Practitioner	APRN.CNP.025551	OH

General Provider Information

NPI Number	:	1992349815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ADAM SOLLIDAY APRN-CNP

Provider Business Mailing Address
First Line	:	700 ACKERMAN RD STE 2120
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43202-1559
Country	:	US
Telephone Number	:	614-688-9337
Fax Number	:	614-293-2584

Provider Business Practice Location Address
First Line	:	150 TAYLOR STATION RD STE 200
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-4470
Country	:	US
Telephone Number	:	614-627-1300
Fax Number	:

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

Provider Enumeration Date	:	11/04/2019
Last Update Date	:	04/11/2025

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