Individual
ANDREA EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, CNP
Contact information
Practice address
3651 RIDGE MILL DR, HILLIARD, OH 43026-7752
(614) 366-2327
Mailing address
700 ACKERMAN RD STE 570, COLUMBUS, OH 43202-1579
(614) 293-2391
(614) 293-7443
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
COA.10958-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3090962
—
OH
Enumeration date
10/01/2009
Last updated
07/25/2012
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