Individual
LEANNA RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6001 E BROAD ST, COLUMBUS, OH 43213-1502
(614) 234-6590
Mailing address
6001 E BROAD ST, COLUMBUS, OH 43213-1502
(614) 234-6590
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
RN.397943
OH
363LN0000X
Neonatal Nurse Practitioner
Primary
APRN.CNP.023257
OH
Other
Enumeration date
06/26/2018
Last updated
09/09/2019
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