Healthcare Provider Details
I. General information
NPI: 1447501861
Provider Name (Legal Business Name): DIANNE ELIZABETH CAHILL N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/25/2012
Last Update Date: 10/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4777 E GALBRAITH RD SUITE 300
CINCINNATI OH
45236-2725
US
IV. Provider business mailing address
4777 E GALBRAITH RD
CINCINNATI OH
45236-2725
US
V. Phone/Fax
- Phone: 513-686-5530
- Fax: 513-686-5469
- Phone: 513-686-5530
- Fax: 513-686-5649
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | 13823 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: