Provider Demographics
NPI:1194194001
Name:MEHLING, LARISSA (CNP)
Entity type:Individual
Prefix:
First Name:LARISSA
Middle Name:
Last Name:MEHLING
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6455 POST RD STE B
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-1225
Mailing Address - Country:US
Mailing Address - Phone:614-376-1403
Mailing Address - Fax:614-389-3222
Practice Address - Street 1:6455 POST RD STE B
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-1225
Practice Address - Country:US
Practice Address - Phone:614-376-1403
Practice Address - Fax:614-389-3222
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-21
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.18086363LP0808X
OHCOA.18086-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health