Provider Demographics
NPI:1841818242
Name:YOUR PRIORIT HEATLH CARE
Entity type:Organization
Organization Name:YOUR PRIORIT HEATLH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:KELLEE
Authorized Official - Middle Name:H
Authorized Official - Last Name:HASLON
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:513-240-6982
Mailing Address - Street 1:1140 INNER CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-3002
Mailing Address - Country:US
Mailing Address - Phone:513-240-6982
Mailing Address - Fax:
Practice Address - Street 1:1100 EATON AVE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-1403
Practice Address - Country:US
Practice Address - Phone:513-240-6982
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-12
Last Update Date:2020-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty