Healthcare Provider Details

I. General information

NPI: 1578482816
Provider Name (Legal Business Name): DANIELLE RICHMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2123 AUBURN AVE STE 440
CINCINNATI OH
45219-2906
US

IV. Provider business mailing address

2123 AUBURN AVE STE 440
CINCINNATI OH
45219-2906
US

V. Phone/Fax

Practice location:
  • Phone: 513-648-8980
  • Fax: 513-648-8988
Mailing address:
  • Phone: 513-648-8980
  • Fax: 513-648-8988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4061550
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0041987
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number0041987
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: