Individual
MARIAH STAPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
3333 BURNET AVE, ML 2008, CINCINNATI, OH 45229-3026
(513) 636-7966
(513) 636-7967
Mailing address
3333 BURNET AVE # 5021, CINCINNATI, OH 45229-3026
(513) 636-4225
(513) 636-2511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
395301
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.026554
OH
363LA2100X
Acute Care Nurse Practitioner
2019048525
OH
Other
Enumeration date
11/28/2013
Last updated
04/10/2020
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