Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | COA.18449-NP | OH |
NPI | 1013385012 |
---|---|
Provider Name | Taylor Davis Whetstone |
First Address | Dublin, OH 43017-0727 |
Second Address | Gahanna, OH 43230 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2015 |
Last Update Date | 14/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0151365 | (05) | OH |