363LA2100X
Columbus, OH
Specialty
363LA2100X
Credential
APRN-CNP
NPI
1649707803
85 Mcnaughten Rd. Ste. 320, Columbus, OH 43213
(614) 754-5500Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 363la2100x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LA2100X