Provider Demographics
NPI:1184715088
Name:RAHE, KAREN ANN (CNP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:RAHE
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 1:3200 VINE STREET
Mailing Address - Street 2:BUILDING 2
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45220
Mailing Address - Country:US
Mailing Address - Phone:513-861-3100
Mailing Address - Fax:513-528-9023
Practice Address - Street 1:4044 MCLEAN DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-3323
Practice Address - Country:US
Practice Address - Phone:513-528-3300
Practice Address - Fax:513-528-9023
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN178524163W00000X
OH05011363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000304560OtherANTHEM
OH0514554Medicaid
OHP00118981Medicare PIN
OHNP12292Medicare PIN
OH000000304560OtherANTHEM