Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Acute Care
Enumerated
Jun 30, 2014
License(s)
1170359 (KY), F0416175 (OH), 2013004849 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 8350 E KEMPER RD SUITE A | Cincinnati, OH 45249-1683 | 413-404-4166 |
| MAILING | 8350 E KEMPER RD SUITE A | Cincinnati, OH 45249-1683 | 513-404-4166 |
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.