Provider Demographics
NPI:1699028316
Name:TITGEMEYER, CEBIE (NP)
Entity Type:Individual
Prefix:
First Name:CEBIE
Middle Name:
Last Name:TITGEMEYER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2222 CHERRY ST STE 1000
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608-2673
Mailing Address - Country:US
Mailing Address - Phone:419-251-4880
Mailing Address - Fax:419-251-7714
Practice Address - Street 1:2222 CHERRY ST
Practice Address - Street 2:SUITE 1600
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-2673
Practice Address - Country:US
Practice Address - Phone:419-251-4880
Practice Address - Fax:419-251-7714
Is Sole Proprietor?:No
Enumeration Date:2012-10-18
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH13955363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics