Provider Demographics
NPI:1952870016
Name:NURTURE COLUMBUS, LLC
Entity Type:Organization
Organization Name:NURTURE COLUMBUS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LACTATION CONSULTANT, CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:OBERHOLZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-835-1498
Mailing Address - Street 1:790 S ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43209-2541
Mailing Address - Country:US
Mailing Address - Phone:614-407-4305
Mailing Address - Fax:614-586-9148
Practice Address - Street 1:790 S ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43209-2541
Practice Address - Country:US
Practice Address - Phone:614-407-4305
Practice Address - Fax:614-586-9148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-19
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty