Individual
DARETH NICOLE-MCCOY GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
300 W 10TH AVE, COLUMBUS, OH 43210-1280
(614) 293-0423
(614) 293-6660
Mailing address
700 ACKERMAN RD, SUITE 260, COLUMBUS, OH 43202-1559
(614) 947-3700
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
08533-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3109399
—
OH
Enumeration date
05/04/2007
Last updated
04/26/2012
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