Individual
HAILEY LYN VONDERAHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5141 W BROAD ST STE 130, COLUMBUS, OH 43228-1984
(614) 851-8469
(614) 851-8528
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0027006
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN.CNP.0027006
APP ENDORSEMENT
OH
Enumeration date
08/12/2020
Last updated
02/15/2023
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