Individual
ANDREA E. DEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN.CNP
Contact information
Practice address
320 W 10TH AVE, COLUMBUS, OH 43210
(614) 293-9273
(614) 293-4372
Mailing address
700 ACKERMAN RD STE 570, COLUMBUS, OH 43202-1579
(614) 293-6529
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.14561
OH
363LF0000X
Family Nurse Practitioner
COA.14561-NP
OH
Other
Enumeration date
07/02/2013
Last updated
05/22/2018
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