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Individual

KAITLIN RAE NASTASSJA PAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN,APRN,PMHNP-BC

Contact information

Practice address
3145 EARLINGTON LN, REYNOLDSBURG, OH 43068-4094
(513) 846-3819
Mailing address
3145 EARLINGTON LN, REYNOLDSBURG, OH 43068-4094
(513) 846-3819

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0040600
OH

Other

Enumeration date
11/26/2025
Last updated
11/26/2025
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