ELLEN HEREDIA

CINCINNATI, OH
NPI1740635762
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: OH  CNP 019536)
Enumeration Date2016-04-27
Last Update Date2017-05-31
Business Address
-- ELLEN HEREDIA CNP
234 GOODMAN ST
CINCINNATI, OH 45219-2364
Phone number: 513-558-4194
Mailing Address
-- ELLEN HEREDIA CNP
PO BOX 636256 CENTRAL CREDENTIALING
CINCINNATI, OH 45263-6256
Phone number: 513-585-5502
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