MEDICARE: CHRISTINA MEADOWS APRN

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.0031118	OH

General Provider Information

NPI Number	:	1952044315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA MEADOWS APRN

Provider Business Mailing Address
First Line	:	1350 W NORTH BEND RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-2606
Country	:	US
Telephone Number	:	513-363-5460
Fax Number	:	513-363-5480

Provider Business Practice Location Address
First Line	:	1350 W NORTH BEND RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-2606
Country	:	US
Telephone Number	:	513-363-5460
Fax Number	:	513-363-5480

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

Provider Enumeration Date	:	04/14/2022
Last Update Date	:	10/05/2023

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