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Mrs. Coretta Stallworth, FNP-C
Nurse Practitioner in Cincinnati, Ohio
NPI 1073943106

Coretta Stallworth is a Nurse Practitioner based in Cincinnati, OH. Coretta Stallworth practices in Cincinnati, OH and has the professional credentials of FNP-C. The NPI Number for Coretta Stallworth is 1073943106 and holds a License No. COA 15366 NP (Ohio).

The current practice location address for Coretta Stallworth is 3333 Burnet Avenue, Cincinnati, OH and can be reached out via phone at 513-636-0800 and via fax at 513-803-0823.

Location: 3333 Burnet Avenue, Cincinnati, OH, 45229-3026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073943106
Provider Name
Coretta Stallworth
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
3333 Burnet Avenue, Cincinnati, OH, 45229-3026
Phone Number
513-636-0800
Fax Number
513-803-0823
Provider Enumeration Date
11/27/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1073943106 01 OH NPI
0098923 05 OH
institution
Provider Business Practice Location Address Details
Address
3333 Burnet Avenue
City
Cincinnati
State
Ohio
Zip
45229-3026
Phone Number
513-636-0800
Fax Number
513-803-0823
person
Provider Business Mailing Address Details
Address
3333 Burnet Avenue
City
Cincinnati
State
Ohio
Zip
45229-3026
Phone Number
513-636-0800
Fax Number
513-803-0823
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
APRN.CNP.15366 (Ohio)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
COA-15366-NP (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
COA 15366 NP (Ohio)
Definition
Definition to come...
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