MEDICARE: MRS. TINA ORICK CNP

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	APRN.CNP.020099	OH

General Provider Information

NPI Number	:	1477009272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TINA ORICK CNP

Provider Business Mailing Address
First Line	:	1730 MEARS AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45230-1908
Country	:	US
Telephone Number	:	513-363-3819
Fax Number	:	513-231-0640

Provider Business Practice Location Address
First Line	:	1730 MEARS AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45230-1908
Country	:	US
Telephone Number	:	513-363-3800
Fax Number	:

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

Provider Enumeration Date	:	08/31/2016
Last Update Date	:	10/28/2016

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