Sample, Nancy S
Sample, Nancy S is an sole proprietor health care provider with primary practice located at 3705 Olentangy River Rd Suite 100, Columbus OH 43214-3467. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Sample, Nancy S can be contacted via phone (614) 262-6772.Contact Information
Primary practice address
3705 Olentangy River Rd Suite 100
Columbus OH 43214-3467
Phone: (614) 262-6772
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN.186505 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 364SA2200X | COA.16623-NS | Ohio |
Profile Details
| NPI number | 1275953408 |
|---|---|
| LBN Legal business name | Sample, Nancy S |
| Credentials | Clinical Nurse Specialist (CNS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2014 |
| Last updated | Nov 20th, 2015 - about 11 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275953408 | NPPES |
| Ohio | MEDICAID | 0112533 |
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