Most Relevant Information
Provider Data
| NPI Number: | 1003281551 |
| Provider Name: | MARINA ELLER CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | COA 18253 NP |
Most Important Dates
| Enumeration Date: | 12/09/2015 |
| Last Updated: | 07/04/2019 |
Provider Practice Location
3620 GENDER RD
CANAL WINCHESTER
OH
431108679
Practice Location Phone/Fax
| Phone: | 1482930156 |
| Fax: |
Provider Mailing Location
8910 BROAD ST SW
PATASKALA
OH
430628502
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |