Provider Demographics
NPI:1437569266
Name:BEHLER, EMILY
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:BEHLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5384 GENESIS CT
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:45044-8307
Mailing Address - Country:US
Mailing Address - Phone:513-255-0087
Mailing Address - Fax:
Practice Address - Street 1:25000 COUNTRY CLUB BLVD
Practice Address - Street 2:SUITE 255
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-5344
Practice Address - Country:US
Practice Address - Phone:440-793-2255
Practice Address - Fax:440-793-7194
Is Sole Proprietor?:No
Enumeration Date:2014-05-01
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.370606163W00000X
OHAG0314035363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse