Healthcare Provider Details

I. General information

NPI: 1508882598
Provider Name (Legal Business Name): ROSANN M. GIESTING CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 10/12/2024
Certification Date: 10/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 MACK RD STE 100
FAIRFIELD OH
45014-5335
US

IV. Provider business mailing address

3000 MACK RD STE 100
FAIRFIELD OH
45014-5335
US

V. Phone/Fax

Practice location:
  • Phone: 513-475-7505
  • Fax: 513-475-8898
Mailing address:
  • Phone: 513-475-7505
  • Fax: 513-475-8898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberCOA 01670 NS
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberAPRN.CNS.01670
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: