Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APRN.CNP.019908 | OH |
NPI | 1558810648 |
---|---|
Provider Name | Britney Ann Iannantuono |
First Address | Dublin, OH 43016-4141 |
Second Address | Columbus, OH 43214-3908 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2016 |
Last Update Date | 19/06/2019 |