Individual
STEPHANIE LYNN FYFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1791 ALUM CREEK DR, COLUMBUS, OH 43207-1708
(614) 445-8131
(614) 827-8380
Mailing address
1791 ALUM CREEK DR, COLUMBUS, OH 43207-1708
(614) 445-8131
(614) 827-8380
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN289920
OH
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.289920
OH
Other
Enumeration date
06/21/2017
Last updated
11/22/2017
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