Provider Demographics
NPI:1780889790
Name:ARBOGAST, DARIA GRETEL (CNP)
Entity type:Individual
Prefix:
First Name:DARIA
Middle Name:GRETEL
Last Name:ARBOGAST
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5580 CYPRESS RD
Mailing Address - Street 2:
Mailing Address - City:THORNVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43076-8119
Mailing Address - Country:US
Mailing Address - Phone:614-293-3818
Mailing Address - Fax:614-293-3112
Practice Address - Street 1:320 W 10TH AVE
Practice Address - Street 2:416M STARLING LOVING HALL
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1280
Practice Address - Country:US
Practice Address - Phone:614-293-3818
Practice Address - Fax:614-293-3112
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHRN144895363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health