Individual
TASHA CORAZON BAUCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6001 E BROAD ST, COLUMBUS, OH 43213-1502
(614) 234-6000
Mailing address
2598 WEEPING WILLOW CT, COLUMBUS, OH 43207-3481
(740) 258-0928
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0039092
OH
363LC0200X
Critical Care Medicine Nurse Practitioner
APRN.CNP.0039092
OH
Other
Enumeration date
01/24/2025
Last updated
08/16/2025
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