Individual
DEZERIE A POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3433 AGLER RD, SUITE 2800, COLUMBUS, OH 43219-3387
(614) 645-1600
(614) 645-1347
Mailing address
3433 AGLER RD, SUITE 2300, COLUMBUS, OH 43219-3387
(614) 645-5500
(614) 458-1849
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP13748
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0071297
—
OH
01
—
20111699
PEDIATRIC NURSING CERTIFICATION BOARD
OH
Enumeration date
09/21/2011
Last updated
03/07/2023
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