MEDICARE: KAREN A FORD RN, 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	APRN.CNP.05427	OH

General Provider Information

NPI Number	:	1952343048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN A FORD RN, CNP

Provider Business Mailing Address
First Line	:	3333 BURNET AVE
Second Line	:	ML 5021
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3039
Country	:	US
Telephone Number	:	513-636-4225
Fax Number	:	513-636-2511

Provider Business Practice Location Address
First Line	:	3333 BURNET AVE
Second Line	:	ML 2008
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3039
Country	:	US
Telephone Number	:	513-636-7966
Fax Number	:	513-636-7967

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

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	05/13/2026

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