Healthcare Provider Details

I. General information

NPI: 1164457925
Provider Name (Legal Business Name): SUSAN HOPE BALL MSN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 VINE ST
CINCINNATI OH
45220-2213
US

IV. Provider business mailing address

3599 MOUNT CARMEL RD
CINCINNATI OH
45244-1639
US

V. Phone/Fax

Practice location:
  • Phone: 513-861-3100
  • Fax: 859-572-6222
Mailing address:
  • Phone: 513-861-3100
  • Fax: 859-572-6222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3756P
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: