Individual
ALEXANDRIA KEERIN REDDELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 257-5200
Mailing address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 257-5286
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN306887
OH
163WA2000X
Administrator Registered Nurse
RN306887
OH
163WC0200X
Critical Care Medicine Registered Nurse
RN306887
OH
163WC1500X
Community Health Registered Nurse
RN306887
OH
163WE0003X
Emergency Registered Nurse
RN306887
OH
163WN0800X
Neuroscience Registered Nurse
RN306887
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN306887
RN LICENSE
OH
Enumeration date
04/25/2022
Last updated
11/08/2022
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