Individual
REGINA FAYE PRUSINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-4500
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-4500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
189549
NC
163W00000X
Registered Nurse
328677
OH
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
09425
OH
Other
Enumeration date
05/23/2008
Last updated
12/27/2017
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