Individual
LAURA CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 585-0577
(513) 672-4479
Mailing address
200 NORTHLAND BLVD FL 1, CINCINNATI, OH 45246-3604
(513) 672-4128
(513) 672-4479
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
126979
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200134770
—
IN
Enumeration date
12/13/2005
Last updated
10/31/2007
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