Healthcare Provider Details

I. General information

NPI: 1891303046
Provider Name (Legal Business Name): ELIZABETH FOX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2020
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8945 BROOKSIDE AVE STE 202
WEST CHESTER OH
45069-7123
US

IV. Provider business mailing address

8945 BROOKSIDE AVE STE 202
WEST CHESTER OH
45069-7123
US

V. Phone/Fax

Practice location:
  • Phone: 513-914-3673
  • Fax: 513-914-3673
Mailing address:
  • Phone: 513-914-3673
  • Fax: 513-914-3673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0033191
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.430793
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: