Individual
DONNA J ILIEVSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4832 W BROAD ST, COLUMBUS, OH 43228-1602
(614) 465-7457
(614) 465-7458
Mailing address
211 EDGEFIELD BLVD, MARION, OH 43302-5801
(740) 914-4178
(740) 386-2640
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.022590
OH
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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