Provider Demographics
NPI:1184957045
Name:QUEHL, STEPHANIE A (RN, CNP)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:A
Last Name:QUEHL
Suffix:
Gender:F
Credentials:RN, CNP
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:A
Other - Last Name:CORWIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, CNP
Mailing Address - Street 1:9600 MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-7246
Mailing Address - Country:US
Mailing Address - Phone:513-936-3050
Mailing Address - Fax:513-745-9323
Practice Address - Street 1:9600 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-7246
Practice Address - Country:US
Practice Address - Phone:513-936-3050
Practice Address - Fax:513-745-9323
Is Sole Proprietor?:No
Enumeration Date:2009-09-10
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.184449163W00000X
OHCOA.11231-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3134245Medicaid
OHH171281Medicare PIN
OH3134245Medicaid