Individual
CHARLOTTE MARIE IZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3924 MOUNTVIEW RD, UPPER ARLINGTON, OH 43220-4806
(614) 338-9158
(614) 569-2257
Mailing address
PO BOX 21351, COLUMBUS, OH 43221-0351
(614) 338-9158
(614) 569-2257
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN342859COA1
OH
363LF0000X
Family Nurse Practitioner
Primary
COA13661NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008339
—
OH
Enumeration date
08/12/2012
Last updated
11/21/2014
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