Basic Information
| Provider Information | |||||||||
| NPI: | 1265049209 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALJAWAWDEH | ||||||||
| FirstName: | AYAT | ||||||||
| MiddleName: | MUSTAFA | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DNP, APRN-CNP, ACNS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5072 VININGTON PL | ||||||||
| Address2: | |||||||||
| City: | DUBLIN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 430168010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6143773706 | ||||||||
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| Practice Location | |||||||||
| Address1: | MOUNT CARMEL HEART & VASCULAR SPECIALIST | ||||||||
| Address2: | 85 MCNAUGHTEN RD. | ||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 43213 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6146272000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/24/2020 | ||||||||
| LastUpdateDate: | 03/10/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/28/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WC0200X | RN.398854 | OH | N | Nursing Service Providers | Registered Nurse | Critical Care Medicine | 363L00000X | APRN.CNP.0028172 | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.