Individual
MRS. MARA DEE NEEDELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
111 SOUTH GRANT AVE, GRANT MEDICAL CENTER, COLUMBUS, OH 43215
(614) 566-9221
Mailing address
700 CHILDRENS DRIVE, 14 NICU NNP PROGRAM, COLUMBUS, OH 43205
(614) 722-6510
(722) 722-4772
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP02481
OH
363LN0005X
Critical Care Neonatal Nurse Practitioner
NEEI04276874
OH
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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