Provider Demographics
NPI:1023538899
Name:DENGLER, ANDREA RENE (CNP)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:RENE
Last Name:DENGLER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 S CAMPUS AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45056-2487
Mailing Address - Country:US
Mailing Address - Phone:513-529-3000
Mailing Address - Fax:513-529-1892
Practice Address - Street 1:421 S CAMPUS AVE FL 1
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:OH
Practice Address - Zip Code:45056-2487
Practice Address - Country:US
Practice Address - Phone:513-529-3000
Practice Address - Fax:513-529-1892
Is Sole Proprietor?:No
Enumeration Date:2017-06-22
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNO.020744363LF0000X
IN71007241A363LF0000X
OHAPRN.CNP.020744363LF0000X
IN28234858A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse