Individual
CHANTIA GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2336 MACK RD UNIT B, FAIRFIELD, OH 45014-3169
(513) 354-3868
Mailing address
3620 CUMBERLAND DR, HAMILTON, OH 45011-1836
(513) 432-2899
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.18201-NP
OH
Other
Enumeration date
10/14/2015
Last updated
05/07/2023
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