Provider Demographics
NPI:1740820091
Name:TALBOTT, AIMEE RENEE (FNP-C)
Entity type:Individual
Prefix:MS
First Name:AIMEE
Middle Name:RENEE
Last Name:TALBOTT
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8176 SHALE VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-4916
Mailing Address - Country:US
Mailing Address - Phone:614-867-8362
Mailing Address - Fax:
Practice Address - Street 1:8176 SHALE VALLEY DR
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-4916
Practice Address - Country:US
Practice Address - Phone:614-867-8362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-14
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.387228163WG0000X
OHAPRN.CNP.26186363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice