Provider Demographics
NPI:1639542822
Name:PRITCHARD, ABBY (APRN)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:
Last Name:PRITCHARD
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 BURNET AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3014
Mailing Address - Country:US
Mailing Address - Phone:513-406-2569
Mailing Address - Fax:
Practice Address - Street 1:7991 BEECHMONT AVE STE A
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-3191
Practice Address - Country:US
Practice Address - Phone:513-528-5600
Practice Address - Fax:513-528-9716
Is Sole Proprietor?:No
Enumeration Date:2015-11-10
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1141700163W00000X
KY3009951363LF0000X
OH020804363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3125746Medicaid
OH2565399Medicaid
KY7100397560Medicaid