Basic Information
Provider Information
NPI: 1033580121
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OBERMEYER
FirstName: CHELSEA
MiddleName: MARIE
NamePrefix: MS.
NameSuffix:  
Credential: C.N.P
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3200 BURNET AVE
Address2: 3 SOUTH CREDENTIALING
City: CINCINNATI
State: OH
PostalCode: 452293019
CountryCode: US
TelephoneNumber: 5134758521
FaxNumber:  
Practice Location
Address1: 234 GOODMAN ST
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452192364
CountryCode: US
TelephoneNumber: 5134758521
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/14/2015
LastUpdateDate: 10/23/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WC0200X364987OHN Nursing Service ProvidersRegistered NurseCritical Care Medicine
363L00000X18328-NPOHY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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