Provider Demographics
NPI:1932972544
Name:CANINI S CONCIERGE HEALTH & WELLNESS SERVICES LLC
Entity Type:Organization
Organization Name:CANINI S CONCIERGE HEALTH & WELLNESS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:CANINI
Authorized Official - Suffix:
Authorized Official - Credentials:APRNCNP
Authorized Official - Phone:614-300-5733
Mailing Address - Street 1:1985 HENDERSON RD STE 1226
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-2401
Mailing Address - Country:US
Mailing Address - Phone:614-593-5445
Mailing Address - Fax:380-500-4604
Practice Address - Street 1:7313 SCHOOLCRAFT LN
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-7499
Practice Address - Country:US
Practice Address - Phone:614-593-5445
Practice Address - Fax:380-500-4604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily