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Individual

MS. CONNIE S SEESKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
9250 BLUE ASH ROAD, CINCINNATI, OH 45242
(513) 792-7445
(513) 791-4042
Mailing address
237 WILLIAM HOWARD TAFT, PHYS DIV, 2ND FL, CBO2-3, ATTN: CREDENTIALING, CINCINNATI, OH 45219-2906
(513) 263-8571
(513) 366-4480

Taxonomy

Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
RN-160618
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
COA.06923-MP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1629638
GATEWAY HEALTH
OH
01
2325111
MEDICAID
OH
01
272352575058
CARESOURCE
OH
01
447999
WELLCARE
OH
01
791974
ANTHEM
OH
01
7959573
AETNA
OH
01
H116691
MEDICARE
OH
01
P01190952
RAILROAD MEDICARE
OH
01
P10000743075
BUCKEYE
OH
Enumeration date
06/23/2006
Last updated
02/18/2015
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