Healthcare Provider Details

I. General information

NPI: 1043414162
Provider Name (Legal Business Name): TASHIA DEAN BAILEY ARNP-BC, ACNP, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TASHIA DEAN HARMON

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 02/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2139 AUBURN AVE
CINCINNATI OH
45219-2906
US

IV. Provider business mailing address

237 WILLIAM HOWARD TAFT RD 2ND FLOOR, CBO 2-3
CINCINNATI OH
45219-2610
US

V. Phone/Fax

Practice location:
  • Phone: 513-585-2000
  • Fax:
Mailing address:
  • Phone: 513-585-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number3005241
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License Number19145-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: