Individual
SHARON ANN UTENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10500 MONTGOMERY RD, CINCINNATI, OH 45242-4402
(513) 672-3309
(513) 672-3323
Mailing address
11490 SPRINGFIELD PIKE, CINCINNATI, OH 45246-3524
(513) 672-3309
(513) 672-3323
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
151093
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0857649
—
OH
05
—
200115250
—
IN
Enumeration date
08/09/2005
Last updated
11/15/2012
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