Individual
MS. MARY CHRISTINE WILLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5100 W BROAD ST, COLUMBUS, OH 43228-1607
(614) 544-1000
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.264016
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.024825
OH
Other
Enumeration date
05/20/2019
Last updated
04/25/2022
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