Basic Information
Provider Information
NPI: 1073276895
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TENSING
FirstName: SUSAN
MiddleName: MARIA
NamePrefix:  
NameSuffix:  
Credential: WHNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 636256
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452636256
CountryCode: US
TelephoneNumber: 5135855506
FaxNumber: 5135855511
Practice Location
Address1: 3130 HIGHLAND AVE FL 1
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452192399
CountryCode: US
TelephoneNumber: 5135845239
FaxNumber: 5135845139
Other Information
ProviderEnumerationDate: 10/19/2021
LastUpdateDate: 12/16/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/16/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LW0102XAPRN.CNP.0028105OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

No ID Information.


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