Healthcare Provider Details

I. General information

NPI: 1588109409
Provider Name (Legal Business Name): LONDON HINDSMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/01/2017
Last Update Date: 12/19/2023
Certification Date: 12/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051 ADDICE WAY
CINCINNATI OH
45224-2701
US

IV. Provider business mailing address

7058 E HAMILTON PL UNIT 914
LIBERTY TOWNSHIP OH
45069-2488
US

V. Phone/Fax

Practice location:
  • Phone: 513-335-9120
  • Fax:
Mailing address:
  • Phone: 513-335-9120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number529502
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLPN.160263.MEDS-IV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: