Fatmata Addison, RN
Non-emergency Medical Transport (VAN) in Gahanna, OH. Individual provider (NPI-1).
NPI number1104113513
StatusActive
Last updated in NPPESOct 27, 2022
Details
- NPI
- 1104113513
- Entity type
- Individual (NPI-1)
- Name
- Fatmata Addison
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 6, 2011
- Certification date
- Oct 27, 2022
- Last updated
- Oct 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | Yes |
| 163W00000X | Registered Nurse | 288852 | OH |
Practice location
473 Woodmark RunGahanna, OH 43230
Phone 614-475-5911
Mailing address
473 Woodmark RunGahanna, OH 43230-5030
Phone 614-475-5911
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