Individual
STEPHANIE M MEDERNACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
3535 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3908
(614) 722-4560
(614) 722-4541
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-4560
(614) 722-4541
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
APRN.CNP.0039597
OH
363LN0005X
Critical Care Neonatal Nurse Practitioner
APRN.CNP.0039597
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0147532
—
OH
Enumeration date
08/04/2016
Last updated
12/29/2025
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