Individual
STEPHANIE M. MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
460 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 685-9615
(614) 293-3277
Mailing address
700 ACKERMAN RD, SUITE 570, COLUMBUS, OH 43202-1559
(614) 685-9615
(614) 293-3277
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.17703
OH
363LA2100X
Acute Care Nurse Practitioner
RN.343359
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0141870
—
OH
01
—
P01686426
RAILROAD MEDICARE
OH
Enumeration date
05/11/2015
Last updated
09/29/2016
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