Healthcare Provider Details

I. General information

NPI: 1306292909
Provider Name (Legal Business Name): ALLYSIA R BILLOW MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2016
Last Update Date: 10/12/2024
Certification Date: 10/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5525 MARIE AVE
CINCINNATI OH
45248-3200
US

IV. Provider business mailing address

3836 DRAKE AVE APT 2
CINCINNATI OH
45209
US

V. Phone/Fax

Practice location:
  • Phone: 513-981-5463
  • Fax: 513-598-2242
Mailing address:
  • Phone: 513-213-5163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.021175
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.021175
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: