Provider Demographics
NPI:1023201944
Name:NESIUS, MARY DENISE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:DENISE
Last Name:NESIUS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8094 BEECHMONT AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255
Mailing Address - Country:US
Mailing Address - Phone:513-232-7100
Mailing Address - Fax:513-232-6975
Practice Address - Street 1:8094 BEECHMONT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255
Practice Address - Country:US
Practice Address - Phone:513-232-7100
Practice Address - Fax:513-232-6975
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28108574A363LF0000X
VA0024184266363LF0000X
OHAPRNCNP15860363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily