Roddenberry, Tommy Nathaniel
Roddenberry, Tommy Nathaniel is an individual health care provider with primary practice located at 700 Childrens Dr , Columbus OH 43205-2664. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is his primary health care specialty. Roddenberry, Tommy Nathaniel can be contacted via phone (904) 504-5271.Contact Information
Primary practice address
700 Childrens Dr
Columbus OH 43205-2664
Phone: (904) 504-5271
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | APRN.CNP.020777 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | APRN.CNP.020777 | Ohio |
Profile Details
| NPI number | 1922532316 |
|---|---|
| LBN Legal business name | Roddenberry, Tommy Nathaniel |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2017 |
| Last updated | May 28th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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