Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | APRN.CNP.020393 | OH |
NPI | 1053857136 |
---|---|
Provider Name | Maria Rodriguez-Santos |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43214-3908 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2017 |
Last Update Date | 12/01/2017 |