MEDICARE: MARCELLE BOBST NP

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	363LW0102X	Women's Health Nurse Practitioner	09800	OH
2	363LA2200X	Adult Health Nurse Practitioner	3005868	KY
3	363LA2200X	Adult Health Nurse Practitioner	APRN.CNP.09800	OH

General Provider Information

NPI Number	:	1043492267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCELLE BOBST NP

Provider Business Mailing Address
First Line	:	7501 DELHI ROAD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45233-1669
Country	:	US
Telephone Number	:	513-244-4949
Fax Number	:	513-244-4594

Provider Business Practice Location Address
First Line	:	7501 DELHI ROAD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45233-1669
Country	:	US
Telephone Number	:	513-244-4949
Fax Number	:	513-244-4594

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2007
Last Update Date	:	04/21/2026

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