Individual
MS. BREUNNA ADEBANJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7400 HUNTINGTON PARK DR, COLUMBUS, OH 43235-5617
(614) 505-0377
Mailing address
2964 RATIFY BLVD, COLUMBUS, OH 43207-3586
(614) 256-9278
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
520456
OH
164W00000X
Licensed Practical Nurse
171024
OH
Other
Enumeration date
05/01/2019
Last updated
06/28/2023
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