Organization
FOSTER WELLNESS, LLC
Active
Other names
Foster Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MARKO APRN (CEO/NURSE PRACTITIONER)
(614) 578-8768
Entity
Organization
Contact information
Practice address
10400 BLACKLICK EASTERN RD STE 130, PICKERINGTON, OH 43147-7702
(305) 367-8378
(614) 639-8001
Mailing address
10400 BLACKLICK EASTERN RD STE 110, PICKERINGTON, OH 43147-7702
(305) 367-8378
(614) 639-8001
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016320
—
OH
05
—
0248012
—
OH
01
—
1346762465
NPI
—
Enumeration date
02/22/2023
Last updated
01/17/2024
Update your record
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