Individual
GLADYS AMMA ODURO MANU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1500 E 17TH AVE, COLUMBUS, OH 43219-1002
(614) 645-2700
(614) 645-2727
Mailing address
1500 E 17TH AVE, COLUMBUS, OH 43219-1002
(614) 645-2700
(614) 645-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.14854-NP
OH
363LF0000X
Family Nurse Practitioner
RN.317610-COA1
OH
363LF0000X
Family Nurse Practitioner
RX.14854-EX1
OH
Other
Enumeration date
09/25/2007
Last updated
12/13/2017
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