Provider Demographics
NPI:1326388315
Name:OGDEN, KRISTIE LYNN (CNP)
Entity Type:Individual
Prefix:MRS
First Name:KRISTIE
Middle Name:LYNN
Last Name:OGDEN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:MS
Other - First Name:KRISTIE
Other - Middle Name:LYNN
Other - Last Name:MITCH AND PENCIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:1 KETTERING WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-4146
Mailing Address - Country:US
Mailing Address - Phone:937-980-7400
Mailing Address - Fax:937-980-7441
Practice Address - Street 1:1 KETTERING WAY STE 200
Practice Address - Street 2:
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-4146
Practice Address - Country:US
Practice Address - Phone:937-980-7400
Practice Address - Fax:937-980-7441
Is Sole Proprietor?:No
Enumeration Date:2013-02-27
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH14237NP363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care