Healthcare Provider Details

I. General information

NPI: 1821051558
Provider Name (Legal Business Name): BARBARA KLUG GIAMBRA PHD, RN, CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE # MLC4000
CINCINNATI OH
45229-3026
US

IV. Provider business mailing address

3333 BURNET AVE # MLC4000
CINCINNATI OH
45229-3026
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-4681
  • Fax: 513-636-7844
Mailing address:
  • Phone: 513-636-4681
  • Fax: 513-636-7844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.05317
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberNP-5317, RN-282368
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: