Individual
AICHA SOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3118 EARLINGTON LN, REYNOLDSBURG, OH 43068-4093
(614) 772-7997
Mailing address
3118 EARLINGTON LN, REYNOLDSBURG, OH 43068-4093
(614) 772-7997
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0041876
OH
Other
Enumeration date
03/28/2026
Last updated
03/28/2026
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