Healthcare Provider Details

I. General information

NPI: 1245488089
Provider Name (Legal Business Name): SHAREN E ORSO MSN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2008
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 TOWNE COMMONS WAY APT 12
CINCINNATI OH
45215-6151
US

IV. Provider business mailing address

71 TOWNE COMMONS WAY APT 12
CINCINNATI OH
45215-6151
US

V. Phone/Fax

Practice location:
  • Phone: 513-282-8822
  • Fax:
Mailing address:
  • Phone: 757-604-6446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number26474
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024178389
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number07337
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: