Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | APRN.CNP.0029586 | OH |
NPI | 1013679430 |
---|---|
Provider Name | Stephanie Marguerite Burrows |
First Address | Columbus, OH 43209-1518 |
Second Address | Columbus, OH 43201-1101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2021 |
Last Update Date | 13/10/2021 |