Individual
JAN RENEE RADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3661 FISH HAWK LNDG, COLUMBUS, OH 43230-6444
(614) 270-6357
Mailing address
3661 FISH HAWK LNDG, COLUMBUS, OH 43230-6444
(614) 270-6357
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.287948
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.024740
OH
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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