Healthcare Provider Details

I. General information

NPI: 1750687950
Provider Name (Legal Business Name): JUDITH ANN DIMUZIO CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2011
Last Update Date: 07/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 PIEDMONT AVE SUITE4300
CINCINNATI OH
45219-4231
US

IV. Provider business mailing address

3200 BURNET AVE 3 SOUTH
CINCINNATI OH
45229-3019
US

V. Phone/Fax

Practice location:
  • Phone: 513-475-7400
  • Fax: 513-475-8201
Mailing address:
  • Phone: 513-475-7400
  • Fax: 513-475-8201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number06019-NS
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: