Provider Demographics
NPI:1982856506
Name:NAGEL, NANCY WILLIAMS (PSYD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:WILLIAMS
Last Name:NAGEL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:ELLEN
Other - Last Name:RUDWALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:715 WOODBINE AVE
Mailing Address - Street 2:CINCINNATI
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-4518
Mailing Address - Country:US
Mailing Address - Phone:513-703-9195
Mailing Address - Fax:
Practice Address - Street 1:3200 VINE ST
Practice Address - Street 2:CINCINNATI
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-2213
Practice Address - Country:US
Practice Address - Phone:513-861-3100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-14
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6487103TH0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth