Individual
NAN MACLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9085 SOUTHERN ST STE 220, ORIENT, OH 43146-9360
(216) 468-5000
Mailing address
1760 NEIL AVE, COLUMBUS, OH 43210-1221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.455249
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0034089
OH
Other
Enumeration date
05/07/2022
Last updated
08/17/2023
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