Provider Demographics
NPI:1851547475
Name:WESTERMEYER, DARCY A (CNP)
Entity Type:Individual
Prefix:
First Name:DARCY
Middle Name:A
Last Name:WESTERMEYER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 WILLIAM HOWARD TAFT RD
Mailing Address - Street 2:2ND FLOOR, CBO 2-3
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2610
Mailing Address - Country:US
Mailing Address - Phone:513-871-5900
Mailing Address - Fax:513-871-5970
Practice Address - Street 1:3805 EDWARDS RD
Practice Address - Street 2:SU. 300
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45209-1900
Practice Address - Country:US
Practice Address - Phone:513-871-5900
Practice Address - Fax:513-871-5970
Is Sole Proprietor?:No
Enumeration Date:2008-08-14
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH09761363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2872682Medicaid
OHH196900Medicare PIN