Individual
MS. MONIQUE CHARMION GANUCHEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
800 MCCONNELL RD, COLUMBUS, OH 43214-3463
(614) 566-5377
(614) 533-6200
Mailing address
5350 FRANTZ RD, DUBLIN, OH 43016-4259
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN340379COA1
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
COA11137NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3039027
—
OH
Enumeration date
11/16/2009
Last updated
04/25/2014
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