Healthcare Provider Details

I. General information

NPI: 1780923219
Provider Name (Legal Business Name): STEPHANIE GILARDI CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2013
Last Update Date: 07/10/2023
Certification Date: 07/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2123 AUBURN AVE
CINCINNATI OH
45219-2906
US

IV. Provider business mailing address

2139 AUBURN AVE BALDWIN BLDG. 5 SOUTH
CINCINNATI OH
45219-2906
US

V. Phone/Fax

Practice location:
  • Phone: 512-702-1060
  • Fax: 513-206-1063
Mailing address:
  • Phone: 513-585-1954
  • Fax: 513-585-0627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberCNP.14238
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: