Healthcare Provider Details

I. General information

NPI: 1316818032
Provider Name (Legal Business Name): ISABELLA FLYNN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1569 STATE ROUTE 28
LOVELAND OH
45140-8429
US

IV. Provider business mailing address

1569 STATE ROUTE 28
LOVELAND OH
45140-8429
US

V. Phone/Fax

Practice location:
  • Phone: 513-575-0968
  • Fax: 513-239-5245
Mailing address:
  • Phone: 513-575-0968
  • Fax: 513-239-5245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number186102
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: