Healthcare Provider Details

I. General information

NPI: 1477919330
Provider Name (Legal Business Name): RACHEL MARIE BRIDGES MSN APRN FNPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHEL MARIE SCHEIDLER RN

II. Dates (important events)

Enumeration Date: 01/07/2016
Last Update Date: 11/09/2023
Certification Date: 11/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3760 PAXTON AVE
CINCINNATI OH
45209-2306
US

IV. Provider business mailing address

3255 EDEN AVE STE G10
CINCINNATI OH
45229
US

V. Phone/Fax

Practice location:
  • Phone: 513-488-8077
  • Fax:
Mailing address:
  • Phone: 513-387-7675
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number79816
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3014148
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.17826
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: