Individual
SIOBHAN ELIZABETH TELLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-2444
Mailing address
3333 BURNET AVE, MLC 7012, CINCINNATI, OH 45229
(513) 636-4744
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.021643
OH
363LP0200X
Pediatric Nurse Practitioner
00020045
CA
Other
Enumeration date
07/26/2017
Last updated
09/13/2017
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