Individual
CHELSEA HERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-7567
Mailing address
3333 BURNET AVE ML 2015, CINCINNATI, OH 45229
(513) 636-4222
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.023097
OH
Other
Enumeration date
09/11/2018
Last updated
10/15/2018
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