Individual
CINDY JEAN WIDMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-4200
(513) 862-4189
Mailing address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-2514
(513) 862-4189
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
COA.13880-NP
OH
363LN0005X
Critical Care Neonatal Nurse Practitioner
COA.13880-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074789
—
OH
01
—
COA13880NP
OHIO LICENSE
OH
05
—
NP1411
—
SC
Enumeration date
01/24/2008
Last updated
05/04/2023
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