Individual
LISA M EMMERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN.CRNA
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8487
(614) 293-8153
Mailing address
700 ACKERMAN RD STE 570, COLUMBUS, OH 43202-1579
(614) 293-8487
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.07675
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2475156
—
OH
Enumeration date
07/17/2006
Last updated
09/25/2018
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