Individual
MRS. MIRANDA MAE RECTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, ACNP-BC
Contact information
Practice address
395 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 293-5598
Mailing address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-5598
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
COA. 11471-NP
OH
Other
Enumeration date
05/24/2010
Last updated
02/29/2012
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