Healthcare Provider Details

I. General information

NPI: 1861572984
Provider Name (Legal Business Name): TARA CRABTREE-VOLLRATH APRN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TARA CRABTREE APRN, NP

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 03/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7459 STATE RD SUITE 325
CINCINNATI OH
45230-2154
US

IV. Provider business mailing address

2060 READING RD SUITE 150
CINCINNATI OH
45202-1454
US

V. Phone/Fax

Practice location:
  • Phone: 513-233-2000
  • Fax: 513-624-2684
Mailing address:
  • Phone: 513-721-3200
  • Fax: 513-639-3186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberCOA.09119-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: