MEDICARE: MICHELLE L KIRSCHNER 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	363L00000X	Nurse Practitioner	NP-06959	OH
2	363LA2100X	Acute Care Nurse Practitioner	COA.06959-NP	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000000524478	OTHER	OH	ANTHEM
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679572382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE L KIRSCHNER CNP

Provider Business Mailing Address
First Line	:	PO BOX 636256 CENTRAL CREDENTIALING
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-6256
Country	:	US
Telephone Number	:	513-585-5507
Fax Number	:	513-585-5511

Provider Business Practice Location Address
First Line	:	222 PIEDMONT AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-4231
Country	:	US
Telephone Number	:	513-475-8500
Fax Number	:	513-475-8510

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

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	02/08/2018

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Directions to “ MICHELLE L KIRSCHNER CNP” Practice Location

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