Healthcare Provider Details

I. General information

NPI: 1679712830
Provider Name (Legal Business Name): EMILY J ZAEBST NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2009
Last Update Date: 01/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11080 CHESTER RD ROOM 445
CINCINNATI OH
45246-3802
US

IV. Provider business mailing address

11080 CHESTER RD ROOM 445
CINCINNATI OH
45246-3802
US

V. Phone/Fax

Practice location:
  • Phone: 513-864-1545
  • Fax: 513-554-1102
Mailing address:
  • Phone: 513-864-1545
  • Fax: 513-554-1102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN329962
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP10393
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: