Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | F10200327 | OH |
NPI | 1033716881 |
---|---|
Provider Name | Christina Okazawa |
First Address | Columbus, OH 43206-2446 |
Second Address | Columbus, OH 43206-2446 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2020 |
Last Update Date | 05/10/2020 |