Individual
KARI E. PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
437 WOODSIDE LAKE DR, GAHANNA, OH 43230-5078
(513) 368-6271
Mailing address
530 S MAIN ST, LIMA, OH 45804-1500
(567) 371-4418
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
019802
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0185398
—
OH
Enumeration date
08/30/2016
Last updated
09/10/2021
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