Individual
MARY J MAGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-4200
(614) 722-4203
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-4200
(614) 722-4203
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.181642-COA1
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.00683-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2231114
—
OH
Enumeration date
07/17/2006
Last updated
09/28/2011
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