Dixie Lee Childers Menser, CNP
Nurse Practitioner, Family in Marysville, OH. Individual provider (NPI-1).
NPI number1760670335
StatusActive
Last updated in NPPESJan 18, 2017
Details
- NPI
- 1760670335
- Entity type
- Individual (NPI-1)
- Name
- Dixie Lee Childers Menser
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 9, 2007
- Last updated
- Jan 18, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 09394-NP | OH | Yes |
Practice location
969 W 5th StMarysville, OH 43040-1070
Phone 937-644-3615
Mailing address
969 W 5th StMarysville, OH 43040-1070
Phone 937-644-3615
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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