Individual
CONNETTE NICOLE BIRL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3130 HIGHLAND AVE, CINCINNATI, OH 45219-2399
(513) 584-4268
(513) 584-6955
Mailing address
2830 VICTORY PKWY, CINCINNATI, OH 45206-1785
(513) 245-3031
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0027519
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.0027519
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0432569
—
OH
Enumeration date
01/16/2020
Last updated
03/30/2021
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