Healthcare Provider Details
I. General information
NPI: 1093117525
Provider Name (Legal Business Name): HEATHER MARIA VOGELSONG LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/16/2014
Last Update Date: 06/04/2024
Certification Date: 06/04/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7373 WERNER AVE
CINCINNATI OH
45231-4267
US
IV. Provider business mailing address
7373 WERNER AVENUE
CINCINNATI OH
45231
US
V. Phone/Fax
- Phone: 513-400-8546
- Fax:
- Phone: 513-400-8546
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 164W00000X |
| Taxonomy | Licensed Practical Nurse |
| License Number | 147080 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: