Individual
MRS. THERESA JO ELIFRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER N
Contact information
Practice address
5100 W BROAD ST, COLUMBUS, OH 43228
(614) 544-1075
(614) 544-1718
Mailing address
700 CHILDRENS DRIVE, COLUMBUS, OH 43205
(614) 722-6510
(614) 722-4772
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COANP00144
OH
363LN0005X
Critical Care Neonatal Nurse Practitioner
EL1104277472
OH
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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