Self-Employed Np Development Co., LLC

NPI #1588832356 in Gahanna, Ohio

Provider Information

NPI Number: 1588832356
Entity Type: Organization
Organization Name: Self-Employed Np Development Co., LLC
Primary Specialty: Nurse Practitioner
Enumeration Date: Feb 14, 2008
Last Updated: Apr 20, 2012

Practice Location

Address: 104 N STYGLER RD
City: Gahanna
State: Ohio
ZIP Code: 43230-2437
Phone: (614) 476-6931

Authorized Official

Name: MS. REBECCA SHAW
Title: PRESIDENT
Phone: (614) 476-6931

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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