Organization
LEGACY NURSE PRACTITIONERS MOBILE HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA OVERCOMER CNP (SENIOR NURSE PRACTITIONER)
(614) 500-2500
Entity
Organization
Contact information
Practice address
5797 BEECHCROFT RD STE F, COLUMBUS, OH 43229-2758
(614) 500-2500
(614) 369-3723
Mailing address
5797 BEECHCROFT RD STE F, COLUMBUS, OH 43229-2758
(614) 500-2500
(614) 369-3723
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0258578
—
OH
Enumeration date
09/06/2017
Last updated
05/13/2019
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