Healthcare Provider Details

I. General information

NPI: 1245538073
Provider Name (Legal Business Name): LAUREN GERING FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. LAUREN BESS

II. Dates (important events)

Enumeration Date: 03/02/2011
Last Update Date: 10/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4452 EASTGATE BLVD SUITE 101
CINCINNATI OH
45245-1584
US

IV. Provider business mailing address

11129 KENWOOD RD
CINCINNATI OH
45242-1817
US

V. Phone/Fax

Practice location:
  • Phone: 513-752-3695
  • Fax:
Mailing address:
  • Phone: 513-731-3399
  • Fax: 513-487-4653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number12120
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number336938
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: