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MAXWEL JAMES TRICKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CNP

Contact information

Practice address
3535 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3908
(614) 566-5000
Mailing address
5999 ROCKY RILL RD, COLUMBUS, OH 43235-3309

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.020814
OH

Other

Enumeration date
02/15/2017
Last updated
03/20/2020
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