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Individual

DIANE ENZWEILER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
3301 MERCY HEALTH BLVD, 125, CINCINNATI, OH 45211-1105
(513) 215-9200
(513) 215-9259
Mailing address
3301 MERCY HEALTH BLVD, 125, CINCINNATI, OH 45211-1105
(513) 215-9200
(513) 215-9259

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3001921
KY
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.04623
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2993775
OH
05
78192101
KY
01
P00920131
RAILROAD MEDICARE
KY
Enumeration date
07/19/2005
Last updated
12/05/2016
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