Individual
MRS. TARA LYNN BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-4567
Mailing address
6302 CASEY CT, FAIRFIELD, OH 45014-3686
(513) 675-6678
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
347357
OH
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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