Healthcare Provider Details

I. General information

NPI: 1982932661
Provider Name (Legal Business Name): VICTORIA WELLS WULSIN MD, DRPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VICTORIA ELIZABETH WELLS MD

II. Dates (important events)

Enumeration Date: 11/18/2009
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2751 OVARSITY WAY
CINCINNATI OH
45221-0001
US

IV. Provider business mailing address

2751 O VARSITY WAY
CINCINNATI OH
45221-0001
US

V. Phone/Fax

Practice location:
  • Phone: 513-556-2564
  • Fax: 513-556-1337
Mailing address:
  • Phone: 513-556-2564
  • Fax: 513-556-1337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number35058016
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number35.058016
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: