MEDICARE: MRS. MARY HELEN WIETLISBACH RN

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	163W00000X	Registered Nurse	RN 170233	OH

General Provider Information

NPI Number	:	1619049574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARY HELEN WIETLISBACH RN

Provider Business Mailing Address
First Line	:	954 WHITE OAK RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45245-3023
Country	:	US
Telephone Number	:	513-753-9976
Fax Number	:	513-753-9976

Provider Business Practice Location Address
First Line	:	954 WHITE OAK RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45245-3023
Country	:	US
Telephone Number	:	513-753-9976
Fax Number	:	513-753-9976

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

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1861324345 — TIASIA TENAE REESE
Practice Location Address:

7040 GLENMEADOW LN APT D
CINCINNATI, OH
45237-3023

Practice Phone: 283-230-7641
Practice Fax:

1588730402 — NEIGHBORHOOD HEALTH CARE, INC.
Practice Location Address:

270 SOUTHERN AVE
CINCINNATI, OH
45219-3023

Practice Phone: 513-363-5658
Practice Fax:

1629388640 — NEIGHBORHOOD HEALTH CARE, INC.
Practice Location Address:

270 SOUTHERN AVE
CINCINNATI, OH
45219-3023

Practice Phone: 513-363-5658
Practice Fax:

1265836936 — MOUNT AUBURN INTERNATIONAL ACADEMY
Practice Location Address:

244 SOUTHERN AVE
CINCINNATI, OH
45219-3023

Practice Phone: 513-241-5500
Practice Fax: 513-241-5501

1811446834 — CHRISTIAN COMMUNITY HEALTH SERVICES
Practice Location Address:

270 SOUTHERN AVE
CINCINNATI, OH
45219-3023

Practice Phone: 513-363-5624
Practice Fax: 513-363-5622

1831734649 — MOUNT AUBURN PREPARATORY ACADEMY
Practice Location Address:

244 SOUTHERN AVE
CINCINNATI, OH
45219-3023

Practice Phone: 330-515-0572
Practice Fax:

Directions to “ MRS. MARY HELEN WIETLISBACH RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.