Provider Demographics
NPI:1356512164
Name:BALKENHOL, SHARON LEE (RN, MSN,CNS)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:LEE
Last Name:BALKENHOL
Suffix:
Gender:F
Credentials:RN, MSN,CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6350 E GALBRAITH RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2354
Mailing Address - Country:US
Mailing Address - Phone:513-686-6800
Mailing Address - Fax:513-686-6888
Practice Address - Street 1:6350 E GALBRAITH RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2354
Practice Address - Country:US
Practice Address - Phone:513-686-6800
Practice Address - Fax:513-686-6888
Is Sole Proprietor?:No
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN098557 NS-03009364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist