Mary Alice Momeyer
Nurse Practitioner - Gerontology
2121 Bethel Rd Ste F
Columbus
, Ohio 43220-1804
Mary Alice Momeyer
Nurse Practitioner - Gerontology
2121 Bethel Rd Ste F
Columbus
, Ohio 43220-1804
(614) 457-3200
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Mary Alice Momeyer
- 2121 Bethel Rd Ste F
- Columbus, OH
- Zip : 43220-1804
- Fax : (614) 457-3200
- Phone : (614) 457-3100
Second Address
- Mary Alice Momeyer
- 2121 Bethel Rd Ste F
- Columbus, OH
- Zip : 43220-1804
- Fax : (614) 457-3200
- Phone : (614) 457-3100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | RN.218736-COA1 | OH |
National Provider Identifier
| NPI | 1083642094 |
|---|---|
| Provider Name | Mary Alice Momeyer |
| First Address | Columbus, OH 43220-1804 |
| Second Address | Columbus, OH 43220-1804 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2006 |
| Last Update Date | 10/03/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2042426 | (05) | OH |
| S86090 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.