Healthcare Provider Details
I. General information
NPI: 1164064986
Provider Name (Legal Business Name): BRIANNA MARIE KARLHEIM CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/14/2019
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4090 E GALBRAITH RD
CINCINNATI OH
45236-2324
US
IV. Provider business mailing address
336 BLOOMFIELD ST STE 201
JOHNSTOWN PA
15904-3271
US
V. Phone/Fax
- Phone: 513-853-9700
- Fax: 513-852-8968
- Phone: 814-467-9999
- Fax: 814-467-9977
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | SP020934 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | CNP.0030357 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: