Provider Demographics
NPI:1811619166
Name:DOWNING, ANDREA (CPNP-AC)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:DOWNING
Suffix:
Gender:F
Credentials:CPNP-AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3350 MELODYMANOR DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-5447
Mailing Address - Country:US
Mailing Address - Phone:513-478-1846
Mailing Address - Fax:
Practice Address - Street 1:3333 BURNET AVE, ML 11027
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229
Practice Address - Country:US
Practice Address - Phone:513-517-2234
Practice Address - Fax:513-636-1969
Is Sole Proprietor?:No
Enumeration Date:2022-09-14
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OHAPRN.CNP.0032339363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program