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Individual

TIMOTHY PATRICK NUSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
5969 E BROAD ST, 2ND FLOOR, COLUMBUS, OH 43213
(614) 864-6010
(614) 864-0306
Mailing address
85 MCNAUGHTEN RD FL 2, COLUMBUS, OH 43213-2174
(614) 627-2000

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
06605
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0454119
OH
Enumeration date
06/19/2006
Last updated
03/10/2022
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