Healthcare Provider Details

I. General information

NPI: 1891252987
Provider Name (Legal Business Name): ELIZABETH ASHLEY GLEASON WEISER CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2019
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2449 ROSS MILLVILLE RD STE B50
HAMILTON OH
45013-8952
US

IV. Provider business mailing address

2449 ROSS MILLVILLE RD STE B50
HAMILTON OH
45013-8952
US

V. Phone/Fax

Practice location:
  • Phone: 513-737-6068
  • Fax: 513-737-6681
Mailing address:
  • Phone: 513-737-6068
  • Fax: 513-737-6681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.024305
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.024305
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: