Healthcare Provider Details
I. General information
NPI: 1437510237
Provider Name (Legal Business Name): MARGARET ANN REHMAN RN CARN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/08/2016
Last Update Date: 03/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3009 BURNET AVE
CINCINNATI OH
45219-2419
US
IV. Provider business mailing address
311 MARTIN LUTHER KING DR E
CINCINNATI OH
45219-2581
US
V. Phone/Fax
- Phone: 513-475-5385
- Fax: 513-332-0368
- Phone: 513-475-5385
- Fax: 513-332-0368
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | RN 151795 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Registered Nurse |
| License Number | RN151795 |
| License Number State | OH |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WA2000X |
| Taxonomy | Administrator Registered Nurse |
| License Number | RN151795 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: