Individual
GINA RENAE MALOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3825 EDWARDS RD STE 300, CINCINNATI, OH 45209-1288
(513) 221-1100
(513) 684-4501
Mailing address
PO BOX 643398, CINCINNATI, OH 45264-3398
(513) 221-1100
(513) 684-4501
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0027915
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.0027915
OH
Other
Enumeration date
11/05/2020
Last updated
10/01/2021
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