Healthcare Provider Details
I. General information
NPI: 1669561874
Provider Name (Legal Business Name): BARBARA J HENRY DNP, APRN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/12/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2135 DANA AVE STE 410
CINCINNATI OH
45207-1327
US
IV. Provider business mailing address
10929 CHESTER RD
CINCINNATI OH
45246-4709
US
V. Phone/Fax
- Phone: 513-241-1811
- Fax: 513-241-2112
- Phone: 513-558-1871
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | RN.178508-COA1 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | COA.02576 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: