Individual
MARY L BEITING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
231 ALBERT SABIN WAY, ML 0585, CINCINNATI, OH 45267-0585
(513) 558-5468
(513) 558-4309
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5504
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
159305
OH
363L00000X
Nurse Practitioner
159305
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
159305
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200864500
—
IN
05
—
2734349
—
OH
05
—
7100039820
—
KY
Enumeration date
01/02/2007
Last updated
08/14/2017
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