Healthcare Provider Details

I. General information

NPI: 1164944120
Provider Name (Legal Business Name): HANNAH EPPENSTEINER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2017
Last Update Date: 04/02/2020
Certification Date: 04/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2123 AUBURN AVE
CINCINNATI OH
45219-2906
US

IV. Provider business mailing address

237 WILLIAM HOWARD TAFT RD CBO2-3, CREDENTIALING, ATTN: VALERIE TAYLOR
CINCINNATI OH
45219-2610
US

V. Phone/Fax

Practice location:
  • Phone: 513-585-2062
  • Fax: 513-585-3099
Mailing address:
  • Phone: 513-263-8571
  • Fax: 513-263-8622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number402496
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number022962
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: