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Melissa Sue List

Nurse Practitioner in Columbus, OH. Individual provider (NPI-1).

NPI number1053970541
StatusActive
Last updated in NPPESNov 19, 2019

Details

NPI
1053970541
Entity type
Individual (NPI-1)
Name
Melissa Sue List
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 10, 2019
Last updated
Nov 19, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerAPRN.CNP.024252OHYes

Practice location

3535 Olentangy River Rd
Columbus, OH 43214-3908

Phone 614-566-5000 · Fax 614-566-1864

Mailing address

5450 Frantz Rd Ste 360
Dublin, OH 43016-4141

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