Provider Demographics
NPI:1821105875
Name:OHIO NURSE PRACTITIONERS, INC.
Entity Type:Organization
Organization Name:OHIO NURSE PRACTITIONERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:R
Authorized Official - Last Name:MAXWELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-486-8303
Mailing Address - Street 1:2718 MOUNT HOLYOKE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-3425
Mailing Address - Country:US
Mailing Address - Phone:614-486-8303
Mailing Address - Fax:614-486-8304
Practice Address - Street 1:2718 MOUNT HOLYOKE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-3425
Practice Address - Country:US
Practice Address - Phone:614-486-8303
Practice Address - Fax:614-486-8304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2487698Medicaid
OH2487698Medicaid