Provider Demographics
NPI:1619643814
Name:KAUFFELD, EMILY CORRINE (FNP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:CORRINE
Last Name:KAUFFELD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:891 INGLESIDE AVE APT 203
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-0137
Mailing Address - Country:US
Mailing Address - Phone:614-558-8241
Mailing Address - Fax:
Practice Address - Street 1:5005 ARLINGTON CENTRE BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-2912
Practice Address - Country:US
Practice Address - Phone:614-246-6900
Practice Address - Fax:614-246-6909
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0029568363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily