Individual
BETH PANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
185 S HARRIS AVE, COLUMBUS, OH 43204-3012
(614) 603-6067
Mailing address
185 S HARRIS AVE, COLUMBUS, OH 43204-3012
(614) 603-6067
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.145151-M-IV
OH
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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