Individual
FATMATA ADDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
473 WOODMARK RUN, GAHANNA, OH 43230
(614) 475-5911
Mailing address
473 WOODMARK RUN, GAHANNA, OH 43230-5030
(614) 475-5911
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
288852
OH
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/06/2011
Last updated
10/27/2022
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