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Contact Information

GRACE M DEYO, CPNP-PC, PHD
555 S 18TH ST
COLUMBUS, OH43205-2654
 Phone: 614-722-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for GRACE M DEYO · (Female)

NPI # 1215121041
Status Active
Credentials CPNP-PC, PHD
Entity Individual
Enumeration date 09/05/2007
Last updated 02/25/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # APRN.CNP.09603
  • OH Medicaid 3015516
  • OH Other H179601 CGS-MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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