Healthcare Provider Details

I. General information

NPI: 1114889508
Provider Name (Legal Business Name): ANNA MARIE EILERMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 BURNET AVE
CINCINNATI OH
45219-2426
US

IV. Provider business mailing address

10137 WHITTLESEY DR
UNION KY
41091-8676
US

V. Phone/Fax

Practice location:
  • Phone: 513-558-5801
  • Fax:
Mailing address:
  • Phone: 859-479-8888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: