Healthcare Provider Details

I. General information

NPI: 1750703625
Provider Name (Legal Business Name): STEPHANIE ANN BEAUCHAMP ANP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. STEPHANIE ANN KUHLMAN

II. Dates (important events)

Enumeration Date: 01/13/2014
Last Update Date: 01/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7625 VOICE OF AMERICA CENTRE DR
WEST CHESTER OH
45069-2795
US

IV. Provider business mailing address

5126 OAK BROOK DR
CINCINNATI OH
45244-5043
US

V. Phone/Fax

Practice location:
  • Phone: 513-644-4394
  • Fax:
Mailing address:
  • Phone: 513-255-1644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberCOA.14137-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: