Individual
MARY KATHERINE HAVERBUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGACNP-BC
Contact information
Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-2989
(513) 585-2062
Mailing address
8037 ARCADIA BLVD, ALEXANDRIA, KY 41001-1486
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0037707
OH
363LA2100X
Acute Care Nurse Practitioner
4010708
KY
Other
Enumeration date
02/15/2025
Last updated
02/15/2025
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