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Contact Information

NICKETTE D DEPASS SURGEON, FNP
6011 CLEVELAND AVE STE B
COLUMBUS, OH43231-2256
 Phone: 614-966-1690
 Fax: 614-368-0448
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for NICKETTE D DEPASS SURGEON · (Female)

NPI # 1861200651
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 12/25/2024
Last updated 12/25/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OH License # APRN.CPN.0038251
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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