Individual
FELISA Y NORTHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, CNP
Contact information
Practice address
3555 OLENTANGY RIVER RD STE 1080, COLUMBUS, OH 43214-3984
(614) 268-8164
(614) 268-8406
Mailing address
3555 OLENTANGY RIVER RD STE 1080, COLUMBUS, OH 43214-3984
(614) 268-8164
(614) 268-8406
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.13069
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3015383
—
OH
Enumeration date
11/27/2009
Last updated
07/21/2022
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