Individual
ANJA VESANEN BROKAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1160 W BROAD ST, LOWER LIGHTS CHRISTIAN HEALTH CENTER, COLUMBUS, OH 43222-1317
(614) 274-1455
(614) 274-2040
Mailing address
1160 W BROAD ST, LOWER LIGHTS CHRISTIAN HEALTH CENTER, COLUMBUS, OH 43222-1317
(614) 274-1455
(614) 274-2040
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN.394211-COA1
OH
363LF0000X
Family Nurse Practitioner
Primary
COA.11799-NP
OH
Other
Enumeration date
09/15/2010
Last updated
08/08/2014
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