Individual
CAROLINE BURNSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 E BROAD ST, COLUMBUS, OH 43213-2086
(614) 656-3345
Mailing address
6400 E BROAD ST, COLUMBUS, OH 43213-2086
(614) 656-3345
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
181986
OH
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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