Individual
HANIYYAH ILIASU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1380 DUBLIN RD, COLUMBUS, OH 43215-1025
(614) 488-7117
(614) 488-7118
Mailing address
4509 BEACHWORTH CT, COLUMBUS, OH 43232-5714
(614) 581-1348
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN460895
OH
164W00000X
Licensed Practical Nurse
PN144846
OH
Other
Enumeration date
02/23/2012
Last updated
11/27/2023
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