MEDICARE: MS. MICHELLE CHERIE CASH CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	364SP0200X	Pediatric Clinical Nurse Specialist	NP 09336	OH
2	363LP0200X	Pediatric Nurse Practitioner	NP-09336	OH

General Provider Information

NPI Number	:	1548296692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MICHELLE CHERIE CASH CNP

Provider Business Mailing Address
First Line	:	3333 BURNET AVE
Second Line	:	MLC 2003
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3039
Country	:	US
Telephone Number	:	513-803-0695
Fax Number	:	513-636-2410

Provider Business Practice Location Address
First Line	:	3333 BURNET AVE
Second Line	:	MLC 2003
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3026
Country	:	US
Telephone Number	:	513-803-0695
Fax Number	:	513-636-2410

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	09/09/2013

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