Individual
ASHTON NICOLE MARICOCCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 S HIGH ST, COLUMBUS, OH 43207-1043
(614) 355-9000
Mailing address
700 CHILDRENS DR # ED277, COLUMBUS, OH 43205-2664
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57.256800
OH
208000000X
Pediatrics Physician
57.256800
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2024
Last updated
06/28/2024
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