| Professional Providers Networking Llc | |
|
7602 Slate Ridge Blvd Reynoldsburg OH 43068-8157 | |
| (614) 574-1824 | |
| Not Available |
| Full Name | Professional Providers Networking Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7602 Slate Ridge Blvd, Reynoldsburg, Ohio |
| Authorized Official Name and Position | Elizabeth A. Wadei (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 6145741823 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Providers Networking Llc 691 E Dublin Granville Rd Columbus OH 43229-3209 Ph: (614) 599-2479 | Professional Providers Networking Llc 7602 Slate Ridge Blvd Reynoldsburg OH 43068-8157 Ph: (614) 574-1824 |
| NPI Number | 1457014599 |
|---|---|
| Provider Enumeration Date | 10/15/2021 |
| Last Update Date | 10/30/2024 |
| Medicare PECOS PAC ID | 9830588185 |
|---|---|
| Medicare Enrollment ID | O20211108002735 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457014599 | NPI | - | NPPES |
| APRN.CNP.0028939 | Other | OH | MEDICARE |
| APRN.CNP.0028939 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Norman Allan Schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255322335 PECOS PAC ID: 4587796644 Enrollment ID: I20100726000153 |
| Provider Name | Elizabeth A Wadei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487958302 PECOS PAC ID: 3274923909 Enrollment ID: I20211210002059 |
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