Gina Renae Malott, APRN
Nurse Practitioner in Cincinnati, OH. Individual provider (NPI-1).
NPI number1982205860
StatusActive
Last updated in NPPESOct 1, 2021
Details
- NPI
- 1982205860
- Entity type
- Individual (NPI-1)
- Name
- Gina Renae Malott
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 5, 2020
- Certification date
- Oct 1, 2021
- Last updated
- Oct 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN.CNP.0027915 | OH | Yes |
| 363LF0000X | Nurse Practitioner, Family | APRN.CNP.0027915 | OH |
Practice location
3825 Edwards Rd Ste 300Cincinnati, OH 45209-1288
Phone 513-221-1100 · Fax 513-684-4501
Mailing address
Po Box 643398Cincinnati, OH 45264-3398
Phone 513-221-1100 · Fax 513-684-4501
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