Individual
NANCY S SAMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
7630 RIVERS EDGE DR, COLUMBUS, OH 43235-1329
(614) 533-4998
(614) 533-4045
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.186505
OH
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
COA.16623-NS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112533
—
OH
Enumeration date
04/28/2014
Last updated
11/20/2024
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