Individual
MICHELLE MARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3333 BURNET AVE, ML 2016, CINCINNATI, OH 45229
(513) 636-4726
(513) 636-2808
Mailing address
3333 BURNET AVE, ML 2016, CINCINNATI, OH 45229-3026
(513) 636-4726
(513) 636-2808
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.019847
OH
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.019847
OH
363LP0200X
Pediatric Nurse Practitioner
APRN.CNP.019847
OH
363LP0222X
Critical Care Pediatric Nurse Practitioner
LE-00004357
OH
Other
Enumeration date
09/02/2016
Last updated
07/25/2018
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