Breiteneicher, Constance Nicole

Breiteneicher, Constance Nicole is an individual health care provider with primary practice located at 700 Childrens Dr , Columbus OH 43205-2639. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Neonatal Intensive Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Breiteneicher, Constance Nicole can be contacted via phone (614) 722-4651.

Contact Information

Primary practice address
700 Childrens Dr Columbus OH 43205-2639
Phone: (614) 722-4651
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neonatal Intensive Care 163WN0002X 335500 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X APRN.CNP.0034106 Ohio

Profile Details

NPI number 1346938859
LBN Legal business name Breiteneicher, Constance Nicole
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2023
Last updated Sep 25th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346938859 NPPES
Ohio MEDICAID 0027094

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