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Individual

GINA MARIE HISSONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
4460 RED BANK EXPRESSWAY, SUITE 110, CINCINNATI, OH 45227-2173
(513) 791-5200
(513) 791-5229
Mailing address
4460 RED BANK EXPRESSWAY, CINCINNATI, OH 45227-2173
(513) 791-5200
(513) 791-5229

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP08086
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1090462
OH
01
2525440
MEDICAID
OH
01
NP17352
MEDICARE
OH
Enumeration date
05/27/2005
Last updated
08/11/2017
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