Individual
MRS. BRYN MICHELLE DESANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
30701 CLEMENS RD # CRW10, WESTLAKE, OH 44145-1074
(440) 617-1212
(440) 617-1213
Mailing address
3400 OLENTANGY RIVER RD, COLUMBUS, OH 43202-1523
(614) 754-5500
(614) 457-9519
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0711138
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056677
—
OH
Enumeration date
09/01/2011
Last updated
10/28/2019
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