Provider Demographics
NPI:1922122704
Name:HAUSFELD, ADRIANE I (RN)
Entity Type:Individual
Prefix:
First Name:ADRIANE
Middle Name:I
Last Name:HAUSFELD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 STRAIGHT ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-1018
Mailing Address - Country:US
Mailing Address - Phone:513-861-5555
Mailing Address - Fax:513-861-0999
Practice Address - Street 1:7370 TURFWAY RD
Practice Address - Street 2:SUITE 109
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-4895
Practice Address - Country:US
Practice Address - Phone:513-861-5555
Practice Address - Fax:513-861-0999
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH214583163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY43948OtherKY TEMP LICENSE
OH214583OtherRN LICENSE