Healthcare Provider Details

I. General information

NPI: 1255771564
Provider Name (Legal Business Name): DINA MICHELLE LITTLER FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DINA MICHELLE CRAWFORD

II. Dates (important events)

Enumeration Date: 07/01/2013
Last Update Date: 03/31/2023
Certification Date: 03/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7580 BEECHMONT AVE
CINCINNATI OH
45255-4221
US

IV. Provider business mailing address

474 HOME ST
GEORGETOWN OH
45121-1459
US

V. Phone/Fax

Practice location:
  • Phone: 513-578-6093
  • Fax:
Mailing address:
  • Phone: 937-378-2979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCOA.14686-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: