Provider Demographics
NPI:1245488089
Name:ORSO, SHAREN E (MSN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:SHAREN
Middle Name:E
Last Name:ORSO
Suffix:
Gender:F
Credentials:MSN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 TOWNE COMMONS WAY APT 12
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-6151
Mailing Address - Country:US
Mailing Address - Phone:757-604-6446
Mailing Address - Fax:
Practice Address - Street 1:71 TOWNE COMMONS WAY APT 12
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-6151
Practice Address - Country:US
Practice Address - Phone:513-282-8822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-05
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC26474163WP0809X
VA0024178389363LP0808X
OH07337363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q28254Medicare UPIN
NP 16651Medicare PIN