Individual provider · Type 1 NPI

Baowen Shi, CNP

Nurse Practitioner · Edgewood, KY

NPI number 1952145682 Active

Practice location

1 Medical Village Drive
Edgewood, KY 41017-3403

Mailing address

P.o. Box 635283
Cincinnati, OH 45263-5283

Other practice locations

  • 50 W Rivercenter Blvd., Covington, KY 41011 · (859) 479-7785
  • 10500 Montgomery Rd, Montgomery, OH 45242-4402 · (513) 865-2246

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4023484 (KY)
Acute Care Nurse Practitioner 363LA2100XAPRN.CNP.0038524 (OH)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1952145682

Baowen Shi, CNP's National Provider Identifier is 1952145682, issued on Jun 19, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Edgewood, KY. The record was last updated on Nov 15, 2025.