Healthcare Provider Details

I. General information

NPI: 1992851844
Provider Name (Legal Business Name): KATHLEEN MARIE SPIERING RN.MSN APN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 12/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL VILLAGE DR NEONATAL ICU
EDGEWOOD KY
41017-3403
US

IV. Provider business mailing address

4146 DRUMMORE LN
CINCINNATI OH
45245-1671
US

V. Phone/Fax

Practice location:
  • Phone: 859-301-2473
  • Fax:
Mailing address:
  • Phone: 513-528-0971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberAPRN3007198
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: