Provider Demographics
NPI:1194183392
Name:RIEBESEHL, KATELYN ANHUT (DNP, APRN)
Entity Type:Individual
Prefix:
First Name:KATELYN
Middle Name:ANHUT
Last Name:RIEBESEHL
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:KATELYN
Other - Middle Name:
Other - Last Name:ANHUT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 636256
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-6256
Mailing Address - Country:US
Mailing Address - Phone:513-585-6200
Mailing Address - Fax:513-245-3672
Practice Address - Street 1:222 PIEDMONT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-4231
Practice Address - Country:US
Practice Address - Phone:513-929-0104
Practice Address - Fax:513-929-4369
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-02
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL277000899363L00000X
IL209013498363L00000X
OHAPRN.CNP.0030677363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner