Provider Demographics
NPI:1790529246
Name:LEMOS DE OLIVEIRA, MARINA MENDES (MSN, APRN, CNP)
Entity type:Individual
Prefix:
First Name:MARINA MENDES
Middle Name:
Last Name:LEMOS DE OLIVEIRA
Suffix:
Gender:F
Credentials:MSN, APRN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 N POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45056-1204
Mailing Address - Country:US
Mailing Address - Phone:513-523-2111
Mailing Address - Fax:
Practice Address - Street 1:5151 MORNING SUN RD STE B
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:OH
Practice Address - Zip Code:45056-9546
Practice Address - Country:US
Practice Address - Phone:513-524-5522
Practice Address - Fax:513-664-3956
Is Sole Proprietor?:No
Enumeration Date:2024-06-20
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0036756363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily