Individual
LISA NIEHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
4440 RED BANK RD, SUITE 210, CINCINNATI, OH 45227-2176
(513) 272-0313
(513) 272-0316
Mailing address
4440 RED BANK RD, SUITE 210, CINCINNATI, OH 45227-2176
(513) 272-0313
(513) 272-0316
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.10916-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3014026
—
OH
Enumeration date
08/27/2009
Last updated
09/13/2011
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