Individual
MR. BEZANKENG DAMASIUS WANATU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 STELLA CT, COLUMBUS, OH 43215-1011
(614) 252-8402
(614) 223-3951
Mailing address
1807 FOREST OAK LN, COLUMBUS, OH 43229-8814
(614) 500-9676
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0033623
OH
Other
Enumeration date
04/07/2023
Last updated
06/16/2025
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