Basic Information
Provider Information
NPI: 1790356517
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KARCH
FirstName: BRITTNEY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APRN, FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: NESSLE
OtherFirstName: BRITTNEY
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 4300 CLIME RD
Address2:  
City: COLUMBUS
State: OH
PostalCode: 432286491
CountryCode: US
TelephoneNumber: 6142721100
FaxNumber:  
Practice Location
Address1: 4300 CLIME RD
Address2:  
City: COLUMBUS
State: OH
PostalCode: 432286491
CountryCode: US
TelephoneNumber: 6142721100
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/02/2021
LastUpdateDate: 02/17/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/17/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XAPRN.CNP.0028962OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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