Individual
DONNITA J TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRNCNP
Contact information
Practice address
543 TAYLOR AVE, COLUMBUS, OH 43203-1278
(614) 293-5123
(614) 293-4890
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-5123
(614) 293-4890
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.10392
OH
363L00000X
Nurse Practitioner
COA.10392-NP
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.10392
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.10392-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2954610
—
OH
Enumeration date
03/11/2009
Last updated
04/22/2026
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