Individual
AUTUMN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
751 MAIN ST, GROVEPORT, OH 43125-1423
(614) 836-4957
Mailing address
751 MAIN ST, GROVEPORT, OH 43125-1423
(614) 836-4957
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN330917
OH
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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