Healthcare Provider Details

I. General information

NPI: 1245586833
Provider Name (Legal Business Name): CARA M HAMRE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARA M GREGORY

II. Dates (important events)

Enumeration Date: 08/01/2012
Last Update Date: 10/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 GOODMAN ST
CINCINNATI OH
45219-2364
US

IV. Provider business mailing address

2830 VICTORY PKWY LL-30
CINCINNATI OH
45206-1785
US

V. Phone/Fax

Practice location:
  • Phone: 513-872-7100
  • Fax: 513-872-7385
Mailing address:
  • Phone: 513-245-3637
  • Fax: 513-475-7259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN.327618
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberCOA.13894-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: