Healthcare Provider Details

I. General information

NPI: 1811315427
Provider Name (Legal Business Name): CATHERINE M. WEATHERS C.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE M. ST. CLAIR C.N.P

II. Dates (important events)

Enumeration Date: 04/01/2014
Last Update Date: 02/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8094 BEECHMONT AVE
CINCINNATI OH
45255-3145
US

IV. Provider business mailing address

8094 BEECHMONT AVE
CINCINNATI OH
45255-3145
US

V. Phone/Fax

Practice location:
  • Phone: 513-232-7100
  • Fax: 513-232-6975
Mailing address:
  • Phone: 513-232-7100
  • Fax: 513-232-6975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP-15760
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: