Provider Demographics
NPI:1053600783
Name:TUERCK, CARA M
Entity type:Individual
Prefix:MS
First Name:CARA
Middle Name:M
Last Name:TUERCK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6482 CHEVIOT RD
Mailing Address - Street 2:7
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-5168
Mailing Address - Country:US
Mailing Address - Phone:513-305-9606
Mailing Address - Fax:
Practice Address - Street 1:6482 CHEVIOT RD
Practice Address - Street 2:7
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247-5168
Practice Address - Country:US
Practice Address - Phone:513-305-9606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH368278163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse