Healthcare Provider Details

I. General information

NPI: 1770966293
Provider Name (Legal Business Name): HANNAH E WIDNER AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2015
Last Update Date: 07/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5885 HARRISON AVE
CINCINNATI OH
45248-1691
US

IV. Provider business mailing address

237 WILLIAM HOWARD TAFT RD CBO2-3, CREDENTIALING, ATTN: VALERIE TAYLOR
CINCINNATI OH
45219-2906
US

V. Phone/Fax

Practice location:
  • Phone: 513-421-5558
  • Fax: 513-632-5804
Mailing address:
  • Phone: 513-263-8571
  • Fax: 513-366-4480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number2281
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number2015023744
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number241435
License Number StateKY
# 4
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA.02145
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: