NPI Profile for LEGACY MEDICAL NETWORK LLC in COLUMBUS, OH.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Clinic/Center |
261Q00000X | |||
Health Service |
261QH0100X | |||
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Primary Care |
261QP2300X | |||
Registered Nurse |
163W00000X | |||
Student Health |
261QS1000X | |||
Urgent Care |
261QU0200X |
| NPI # | 1073075438 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/04/2019 | |
| Last updated | 06/11/2019 - About 7 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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LEGACY MEDICAL NETWORK LLC
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