MEDICARE: MRS. OLIVIA MAE SZERSZEN

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	163W00000X	Registered Nurse	RN.336192	OH
2	163W00000X	Registered Nurse	RN.9470948	FL
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN.CNP.0033846	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730118613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. OLIVIA MAE SZERSZEN

Provider Business Mailing Address
First Line	:	2464 FLEETWOOD AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-8321
Country	:	US
Telephone Number	:	513-545-9665
Fax Number	:

Provider Business Practice Location Address
First Line	:	7364 READING RD STE B
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45237-3451
Country	:	US
Telephone Number	:	513-400-4123
Fax Number	:	513-810-3124

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

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	03/16/2025

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