Individual
AMY KRISTINE SCANLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4725 PARKWICK DR, COLUMBUS, OH 43228-6401
(614) 655-3354
(614) 317-4692
Mailing address
4725 PARKWICK DR, COLUMBUS, OH 43228-6401
(614) 655-3354
(614) 317-4692
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
411615
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255865150
—
OH
Enumeration date
01/15/2018
Last updated
06/16/2018
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