Individual
NICKETTE DONNA MARIE DEPASS-SURGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6011 CLEVELAND AVE STE B, COLUMBUS, OH 43231-2256
(614) 966-1690
(614) 368-0448
Mailing address
6011 CLEVELAND AVE STE B, COLUMBUS, OH 43231-2256
(614) 966-1690
(614) 368-0448
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN.CPN.0038251
OH
Other
Enumeration date
12/25/2024
Last updated
12/25/2024
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