Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 15115-NP | OH |
NPI | 1003241696 |
---|---|
Provider Name | Mrs. Morgan Elizabeth White |
First Address | Columbus, OH 43235-6726 |
Second Address | Columbus, OH 43222-1515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2013 |
Last Update Date | 13/09/2013 |