Healthcare Provider Details

I. General information

NPI: 1730118613
Provider Name (Legal Business Name): MRS. OLIVIA MAE SZERSZEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 03/16/2025
Certification Date: 03/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7364 READING RD STE B
CINCINNATI OH
45237-3451
US

IV. Provider business mailing address

2464 FLEETWOOD AVE
CINCINNATI OH
45211-8321
US

V. Phone/Fax

Practice location:
  • Phone: 513-400-4123
  • Fax: 513-810-3124
Mailing address:
  • Phone: 513-545-9665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0033846
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.336192
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.9470948
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: