Provider Demographics
NPI:1144788340
Name:COLUMBUS SPECIALTY NURSING LLC
Entity type:Organization
Organization Name:COLUMBUS SPECIALTY NURSING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLISER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:740-920-4660
Mailing Address - Street 1:5401 WHITEHEAD RD
Mailing Address - Street 2:
Mailing Address - City:GRANVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43023-9605
Mailing Address - Country:US
Mailing Address - Phone:740-920-4660
Mailing Address - Fax:740-422-1776
Practice Address - Street 1:4041 N HIGH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3247
Practice Address - Country:US
Practice Address - Phone:740-920-4660
Practice Address - Fax:740-422-1776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-06
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion TherapyGroup - Multi-Specialty