MEDICARE: ROBIN E TAUL NURSE PRACTITIONER

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	364SP0813X	Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist	2023151226	OH

General Provider Information

NPI Number	:	1508631029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN E TAUL NURSE PRACTITIONER

Provider Business Mailing Address
First Line	:	2215 BURNET AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-3113
Country	:	US
Telephone Number	:	513-908-3091
Fax Number	:

Provider Business Practice Location Address
First Line	:	2215 BURNET AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-3113
Country	:	US
Telephone Number	:	513-908-3091
Fax Number	:

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

Provider Enumeration Date	:	11/15/2023
Last Update Date	:	11/15/2023

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