Healthcare Provider Details

I. General information

NPI: 1194809012
Provider Name (Legal Business Name): DONNA L DUNCAN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 05/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 COMPTON ROAD
CINCINNATI OH
45231
US

IV. Provider business mailing address

1380 COMPTON ROAD
CINCINNATI OH
45231
US

V. Phone/Fax

Practice location:
  • Phone: 513-931-9600
  • Fax: 513-931-1898
Mailing address:
  • Phone: 513-931-9600
  • Fax: 513-931-1898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberCOA.08834-NP
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberCOA.08834-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: