Individual
IKEA WINDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2022 RIVER ROCK WAY, REYNOLDSBURG, OH 43068-8259
(567) 307-1222
Mailing address
765 PIERCE DR, COLUMBUS, OH 43223-2425
(614) 223-4650
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.468495
OH
Other
Enumeration date
07/20/2020
Last updated
02/22/2023
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