Provider Demographics
NPI:1073622841
Name:COLVIN, ANDREW M (CNP)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:M
Last Name:COLVIN
Suffix:
Gender:M
Credentials:CNP
Other - Prefix:
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Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-293-7499
Mailing Address - Fax:614-366-2360
Practice Address - Street 1:181 TAYLOR AVE FL 13
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43203-1779
Practice Address - Country:US
Practice Address - Phone:614-293-7499
Practice Address - Fax:614-366-2360
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2025-06-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.08388363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2638953Medicaid
Q59442Medicare UPIN
OH2638953Medicaid