SUSAN LEE MCFALL AGPCNP-BC
NPI 1669992822
Nurse Practitioner - Adult Health in Columbus, OH
Active since June 20, 2017
About Susan Lee Mcfall Agpcnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN LEE MCFALL AGPCNP-BC (NPI 1669992822) is an individual adult health provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.020845) and active in the NPI registry since June 2017. She maintains a secondary practice location in Chantilly.
NPPES Registry Identity
NPI1669992822
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSUSAN LEE MCFALLCredential: AGPCNP-BC
Location Address1258 GRANDVIEW AVE STE AColumbus, OH 43212-3469
Mailing Address1258 Grandview Ave Ste AColumbus, OH 43212-3469 · (513) 509-7918
Phone(513) 509-7918
Sole ProprietorNo
Enumeration DateJune 20, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1669992822 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in OH · APRN.CNP.020845
1258 GRANDVIEW AVE STE A, Columbus, OH 43212
Secondary Practice Location 1
Location 114121 Parke Long Ct Ste 201Chantilly, VA 20151-1647 · Phone (513) 509-7918
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669992822, enumerated as an "individual" on June 20, 2017.
The provider is located at 1258 GRANDVIEW AVE STE A COLUMBUS, OH 43212 and the phone number is (513) 509-7918.
Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.
