Provider Demographics
NPI:1366014276
Name:WARNDORFF, NICHOLAS (RN)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:
Last Name:WARNDORFF
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:NICK
Other - Middle Name:
Other - Last Name:WARNDORFF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:2970 WERK RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-7019
Mailing Address - Country:US
Mailing Address - Phone:513-315-5992
Mailing Address - Fax:
Practice Address - Street 1:234 GOODMAN ST DEPT OF
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2364
Practice Address - Country:US
Practice Address - Phone:513-475-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.420919390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program