Individual
NICOLE MARCHELLE HERATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 DILLMONT DR, COLUMBUS, OH 43235-6458
(614) 802-6080
(380) 255-7300
Mailing address
3525 OLENTANGY RIVER RD STE 4330, COLUMBUS, OH 43214-3937
(614) 255-6900
(614) 255-6901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005754RX
OH
Other
Enumeration date
05/04/2018
Last updated
04/14/2026
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