Healthcare Provider Details

I. General information

NPI: 1689946485
Provider Name (Legal Business Name): DIONNE SOMMER CAGE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2012
Last Update Date: 02/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 DAPHNE CT
CINCINNATI OH
45240-3112
US

IV. Provider business mailing address

730 DAPHNE CT
CINCINNATI OH
45240-3112
US

V. Phone/Fax

Practice location:
  • Phone: 513-687-1636
  • Fax: 513-825-3694
Mailing address:
  • Phone: 513-687-1636
  • Fax: 513-825-3694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN321243
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: