Healthcare Provider Details

I. General information

NPI: 1043013204
Provider Name (Legal Business Name): YAEL FRIEDSTROM APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2025
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1775 W LEXINGTON STE 150
CINCINNATI OH
45212-3668
US

IV. Provider business mailing address

1775 W LEXINGTON STE 150
CINCINNATI OH
45212-3668
US

V. Phone/Fax

Practice location:
  • Phone: 513-246-8000
  • Fax: 513-853-7909
Mailing address:
  • Phone: 513-246-8000
  • Fax: 513-853-7909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.495836
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0038864
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: