Individual
MICHELLE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD CPNP
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-3865
(614) 722-6560
Mailing address
3275 CRANSTON DR, DUBLIN, OH 43017-3702
(614) 889-1824
(614) 722-6560
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN209187
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
COA01020NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MP2021949
—
OH
Enumeration date
08/03/2006
Last updated
06/25/2012
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