Healthcare Provider Details

I. General information

NPI: 1386045003
Provider Name (Legal Business Name): DORIT GILMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DORIT T. GILMAN FNP

II. Dates (important events)

Enumeration Date: 09/12/2014
Last Update Date: 12/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10500 MONTGOMERY RD
CINCINNATI OH
45242-4402
US

IV. Provider business mailing address

10500 MONTGOMERY RD
CINCINNATI OH
45242-4402
US

V. Phone/Fax

Practice location:
  • Phone: 513-865-1111
  • Fax: 513-557-4104
Mailing address:
  • Phone: 513-865-1111
  • Fax: 513-557-4104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number16441
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: