Provider Demographics
NPI:1821533522
Name:RECTOR, KASIE NIKOLE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:KASIE
Middle Name:NIKOLE
Last Name:RECTOR
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 MERCY HEALTH PL
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-6147
Mailing Address - Country:US
Mailing Address - Phone:888-696-3541
Mailing Address - Fax:513-981-6103
Practice Address - Street 1:4881 STATE ROUTE 125
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:OH
Practice Address - Zip Code:45121-9550
Practice Address - Country:US
Practice Address - Phone:937-378-2526
Practice Address - Fax:937-378-2540
Is Sole Proprietor?:No
Enumeration Date:2017-01-04
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHF1216111363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily