Healthcare Provider Details

I. General information

NPI: 1891485645
Provider Name (Legal Business Name): LINDSEY WATSON DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2023
Last Update Date: 09/08/2023
Certification Date: 09/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE
CINCINNATI OH
45229-3026
US

IV. Provider business mailing address

2533 WOODBURN AVE APT B410
CINCINNATI OH
45206-3231
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-4259
  • Fax: 513-636-4267
Mailing address:
  • Phone: 513-967-4819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.0034246
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: