Provider Demographics
NPI:1952023475
Name:WAITE, CARLA GREER (BSN, RN, CNOR)
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:GREER
Last Name:WAITE
Suffix:
Gender:F
Credentials:BSN, RN, CNOR
Other - Prefix:
Other - First Name:CARLA
Other - Middle Name:GREER
Other - Last Name:VAUGHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6534 PEPPERELL LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2238
Mailing Address - Country:US
Mailing Address - Phone:513-417-1470
Mailing Address - Fax:
Practice Address - Street 1:3200 VINE ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-2213
Practice Address - Country:US
Practice Address - Phone:513-861-3100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN351834163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty