Healthcare Provider Details

I. General information

NPI: 1366501199
Provider Name (Legal Business Name): GINA RENATE POWERS ANP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 OAK ST STERLING MEDICAL ASSOC
CINCINNATI OH
45219-2598
US

IV. Provider business mailing address

411 OAK ST STERLING MEDICAL ASSOC, ATTN CREDENTIALS
CINCINNATI OH
45219-2598
US

V. Phone/Fax

Practice location:
  • Phone: 513-984-1800
  • Fax: 513-984-4909
Mailing address:
  • Phone: 513-984-1800
  • Fax: 513-984-4909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number0024166674
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001165242
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: