Individual
MISS BLYTHE NOELLE GRESSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
452 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 366-3583
Mailing address
452 W 10TH AVE, COLUMBUS, OH 43210-1240
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.11100-NP
OH
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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