Wellformed AI

NPI 1699747303 · live from the CMS NPI Registry

Minuteclinic Diagnostic Of Ohio LLC

Nurse Practitioner, Family in Hilliard, OH. National Provider Identifier 1699747303, active.

NPI record

NPI1699747303 Type 2 · organization
StatusActive
Primary specialtyNurse Practitioner, Family 363LF0000X
Practice location4961 Roberts Rd, Hilliard, OH 43026
Practice phone866-389-2727
Mailing address1 Cvs Drive, Minuteclinic Credentialing - Mc2295, Woonsocket, RI 02895
EnumeratedFebruary 6, 2006
Last updatedJune 24, 2024
Authorized officialDeborah Pincince, Administrator

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Professional101YP2500X—
Social Worker, Clinical1041C0700X—
Marriage & Family Therapist106H00000X—
Nurse Practitioner, Family primary363LF0000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.