Provider Demographics
NPI:1164546867
Name:OBIAL, RENEE MARIE (RN)
Entity Type:Individual
Prefix:MISS
First Name:RENEE
Middle Name:MARIE
Last Name:OBIAL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4030 SMITH RD
Mailing Address - Street 2:STE 300
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45209-1974
Mailing Address - Country:US
Mailing Address - Phone:513-961-2052
Mailing Address - Fax:513-345-2606
Practice Address - Street 1:4030 SMITH RD
Practice Address - Street 2:STE 300
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45209-1974
Practice Address - Country:US
Practice Address - Phone:513-961-2052
Practice Address - Fax:513-345-2606
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNS.01578364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHNS-01578OtherCERTIFICATE OF AUTHORITY
OHRN-181335OtherRN LICENSE NUMBER
OHRN-181335OtherRN LICENSE NUMBER