Individual provider · Type 1 NPI
Khalilah Krystal Larue, CNP
Psychiatric/Mental Health Nurse Practitioner · Columbus, OH
NPI number
1255578548
Active
Practice location
16 W Long St
Columbus, OH 43215-2815
Mailing address
3252 Pomarine Ln
Peachtree Corners, GA 30092-4919
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN305465 (GA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | COA. 10483 (OH) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1255578548
Khalilah Krystal Larue, CNP's National Provider Identifier is 1255578548, issued on Jan 8, 2009. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Columbus, OH. The record was last updated on Aug 30, 2021.