Healthcare Provider Details

I. General information

NPI: 1073276895
Provider Name (Legal Business Name): SUSAN MARIA TENSING WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2021
Last Update Date: 12/16/2021
Certification Date: 12/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3130 HIGHLAND AVE FL 1
CINCINNATI OH
45219-2399
US

IV. Provider business mailing address

PO BOX 636256
CINCINNATI OH
45263-6256
US

V. Phone/Fax

Practice location:
  • Phone: 513-584-5239
  • Fax: 513-584-5139
Mailing address:
  • Phone: 513-585-5506
  • Fax: 513-585-5511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRN.CNP.0028105
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: