Individual
BETH KRISTINA LAGERGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
3333 BURNET AVE ML 11024, CINCINNATI, OH 45229-3026
(513) 636-6771
(513) 636-4615
Mailing address
3333 BURNET AVE, ML11024, CINCINNATI, OH 45229-3026
(513) 636-4371
(513) 636-7657
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.369036-COA1
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.13628
OH
Other
Enumeration date
08/08/2012
Last updated
06/23/2020
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