Registry details
Type
Individual
Primary specialty
Nurse Practitioner
Enumerated
Sep 25, 2024
License(s)
RN-477942 (OH), APRN.CNP.0039106 (OH), APRN.CNP0039106 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 3333 BURNET AVE | Cincinnati, OH 45229-3026 | 513-636-4200 |
| MAILING | 5404 BRIGADE CT | Cincinnati, OH 45239-7668 | 513-679-0447 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.