Individual
CRYSTAL R. LOSAMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
543 TAYLOR AVE, COLUMBUS, OH 43203
(614) 293-4837
(614) 293-3125
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-4837
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.020927
OH
363LF0000X
Family Nurse Practitioner
71005737A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0232946
—
OH
05
—
201348120
—
IN
Enumeration date
10/05/2011
Last updated
03/05/2021
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