Individual
CASSIE WARDLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
3333 BURNET AVE, ML 6015, CINCINNATI, OH 45229-3026
(513) 636-0800
(513) 803-0823
Mailing address
3333 BURNET AVE, ML 6015, CINCINNATI, OH 45229-3026
(513) 636-0800
(513) 803-0823
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
I.0700457
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.15601
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
COA.15601-NP
OH
Other
Enumeration date
03/16/2008
Last updated
10/28/2019
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