Healthcare Provider Details

I. General information

NPI: 1477139517
Provider Name (Legal Business Name): NORA CLAIRE ELSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2021
Last Update Date: 03/19/2021
Certification Date: 03/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 DIXMYTH AVE
CINCINNATI OH
45220-2475
US

IV. Provider business mailing address

3248 COLUMBIA PKWY # 4
CINCINNATI OH
45226-1042
US

V. Phone/Fax

Practice location:
  • Phone: 513-862-3562
  • Fax:
Mailing address:
  • Phone: 513-680-6672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: