Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | APRN.CNP.019445 | OH |
NPI | 1003342171 |
---|---|
Provider Name | Heidi Fernung-Briggs |
First Address | Columbus, OH 43203-1278 |
Second Address | Columbus, OH 43203-1278 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2017 |
Last Update Date | 10/07/2019 |