Provider Demographics
NPI:1134497654
Name:GINN, ANITA ANN (RN)
Entity type:Individual
Prefix:MS
First Name:ANITA
Middle Name:ANN
Last Name:GINN
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 1:11599 KETTERING DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-4616
Mailing Address - Country:US
Mailing Address - Phone:360-481-2692
Mailing Address - Fax:
Practice Address - Street 1:11599 KETTERING DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-4616
Practice Address - Country:US
Practice Address - Phone:360-481-2692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-12
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 145235-M-IV164W00000X
OHRN.531577163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No164W00000XNursing Service ProvidersLicensed Practical Nurse