Individual
LAURA SUSAN DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3300 MERCY HEALTH BLVD, CINCINNATI, OH 45211-1103
(513) 215-5030
Mailing address
3300 MERCY HEALTH BLVD, CINCINNATI, OH 45211-1103
(513) 215-5030
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.18917
OH
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.18917
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165174
—
OH
Enumeration date
03/17/2016
Last updated
09/06/2017
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