Individual
SYDNEY DIANE VON DER EMBSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-5123
(614) 293-4890
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-5123
(614) 293-4890
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN.440582
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.0029559
OH
Other
Enumeration date
03/16/2021
Last updated
01/05/2024
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