Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | APRN.CNP.03867 | OH |
N | 363LN0000X | Nurse Practitioner - Neonatal | RN 185053 | OH |
NPI | 1154874261 |
---|---|
Provider Name | Teresa Rapp |
First Address | Columbus, OH 43213-1502 |
Second Address | Columbus, OH 43213-1502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2016 |
Last Update Date | 26/07/2016 |