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Individual

MRS. CANDRA C MCINTOSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, PMHNP-BC

Contact information

Practice address
11085 MONTGOMERY RD STE 250, CINCINNATI, OH 45249-2395
(513) 547-2861
Mailing address
11085 MONTGOMERY RD STE 250, CINCINNATI, OH 45249-2395
(513) 547-2861

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
330155
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0034455
OH

Other

Enumeration date
04/01/2009
Last updated
09/18/2023
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