Individual
JUDITH MARY LAVER BIERSCHBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 584-7372
(513) 584-2605
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5502
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
COA06771NP
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.06771-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201072090
—
OH
05
—
3091523
—
OH
05
—
7100190020
—
KY
Enumeration date
05/02/2007
Last updated
08/23/2017
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