Provider Demographics
NPI:1376621375
Name:PANCHIK, NANCY MARIE (CNP)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:MARIE
Last Name:PANCHIK
Suffix:
Gender:F
Credentials:CNP
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Mailing Address - Street 1:410 W 10TH AVE
Mailing Address - Street 2:11TH FLOOR
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-1240
Mailing Address - Country:US
Mailing Address - Phone:614-293-4854
Mailing Address - Fax:614-293-8102
Practice Address - Street 1:1581 DODD DR
Practice Address - Street 2:4TH FLOOR
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1257
Practice Address - Country:US
Practice Address - Phone:614-293-4854
Practice Address - Fax:614-293-8102
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2016-12-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OHNP#07451363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health