MEDICARE: FUNCTIONAL NOW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1033955026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FUNCTIONAL NOW

Provider Business Mailing Address
First Line	:	3537 GREENVIEW WAY
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45245-3367
Country	:	US
Telephone Number	:	513-371-6541
Fax Number	:

Provider Business Practice Location Address
First Line	:	1329 E KEMPER RD STE 4100J
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45246-5104
Country	:	US
Telephone Number	:	513-371-6541
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. ASHLEY DISHION
Credential	:	MSN, FNP-BC
Telephone Number	:	513-371-6541

Provider Enumeration Date	:	07/08/2024
Last Update Date	:	07/08/2024

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Directions to “FUNCTIONAL NOW ” Practice Location

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