Individual
MRS. ANN VIDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, ACNP-BC
Contact information
Practice address
460 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-3241
(614) 293-4044
Mailing address
460 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-3241
(614) 293-4044
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
13851
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074801
—
OH
Enumeration date
09/25/2012
Last updated
02/22/2017
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