Individual
SUSAN L. VANDLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN.CNP
Contact information
Practice address
300 W 10TH AVE, COLUMBUS, OH 43210-1280
(614) 293-6196
(614) 366-0073
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-6196
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.03438
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.03438-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2309120
—
OH
Enumeration date
01/24/2006
Last updated
12/14/2020
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