Healthcare Provider Details

I. General information

NPI: 1356326425
Provider Name (Legal Business Name): LISA SCHEPER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 12/02/2021
Certification Date: 12/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 GOODMAN ST
CINCINNATI OH
45219-2364
US

IV. Provider business mailing address

11490 SPRINGFIELD PIKE
CINCINNATI OH
45246-3524
US

V. Phone/Fax

Practice location:
  • Phone: 513-475-8282
  • Fax: 513-475-8283
Mailing address:
  • Phone: 513-672-3309
  • Fax: 513-672-3323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number05605
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: