Individual
MRS. DOROTHY RENEE IDRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3285 RENFRO AVE, CINCINNATI, OH 45211-6624
(513) 546-8002
Mailing address
3285 RENFRO AVE, CINCINNATI, OH 45211-6624
(513) 546-8002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
RN284383
OH
163WC0400X
Case Management Registered Nurse
RN284383
OH
163WC2100X
Continence Care Registered Nurse
RN284383
OH
163WD1100X
Peritoneal Dialysis Registered Nurse
Primary
RN284383
OH
163WE0900X
Enterostomal Therapy Registered Nurse
RN284383
OH
163WG0000X
General Practice Registered Nurse
RN284383
OH
163WG0100X
Gastroenterology Registered Nurse
RN284383
OH
163WG0600X
Gerontology Registered Nurse
RN284383
OH
163WH0200X
Home Health Registered Nurse
RN284383
OH
163WH1000X
Hospice Registered Nurse
RN284383
OH
163WP0000X
Pain Management Registered Nurse
RN284383
OH
163WP2201X
Ambulatory Care Registered Nurse
RN284383
OH
163WW0000X
Wound Care Registered Nurse
RN284383
OH
163WX1500X
Ostomy Care Registered Nurse
RN284383
OH
172A00000X
Driver
RT187022
OH
Other
Enumeration date
07/24/2012
Last updated
08/20/2013
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