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Organization
OMNIA MEDICAL GROUP LLC
Active
Organization
OMNIA MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY RENEE BRANNAN DNP, APRN, FNP-C (CEO/FAMILY NURSE PRACTITIONER)
(614) 587-7778
Entity
Organization
Contact information
Practice address
65 HIGHVIEW BLVD STE 101A, COLUMBUS, OH 43207-6065
(614) 587-7778
(740) 212-8808
Mailing address
65 HIGHVIEW BLVD STE 101A, COLUMBUS, OH 43207-6065
(614) 587-7778
(740) 212-8808
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0308873
—
OH
Enumeration date
03/02/2023
Last updated
01/02/2025
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