Individual provider · Type 1 NPI

Ellen Heredia, CNP

Gerontology Nurse Practitioner · Cincinnati, OH

NPI number 1740635762 Active

Practice location

234 Goodman St
Cincinnati, OH 45219-2364

Mailing address

PO Box 636256, Central Credentialing
Cincinnati, OH 45263-6256

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XCNP 019536 (OH)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1740635762

Ellen Heredia, CNP's National Provider Identifier is 1740635762, issued on Apr 27, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Cincinnati, OH. The record was last updated on May 31, 2017.