Individual
MRS. MAGDALENE EDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1380 DUBLIN RD, COLUMBUS, OH 43215-1025
(614) 488-7117
(614) 488-7118
Mailing address
105 EGRET COURT, PICKERINGTON OHIO 43147, 105, PICKERINGTON, OH 43147
(614) 783-0405
(614) 833-0964
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
025488
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0379956
—
OH
Enumeration date
02/19/2012
Last updated
08/08/2023
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