Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | APRN.CNP.024898 | OH |
NPI | 1023660388 |
---|---|
Provider Name | Mr. Cody Thomas Ash |
First Address | Dublin, OH 43017-0727 |
Second Address | Columbus, OH 43214-3467 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2019 |
Last Update Date | 08/12/2021 |