Provider Demographics
NPI:1679712830
Name:ZAEBST, EMILY J (NP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:J
Last Name:ZAEBST
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11080 CHESTER RD
Mailing Address - Street 2:ROOM 445
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-3802
Mailing Address - Country:US
Mailing Address - Phone:513-864-1545
Mailing Address - Fax:513-554-1102
Practice Address - Street 1:11080 CHESTER RD
Practice Address - Street 2:ROOM 445
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-3802
Practice Address - Country:US
Practice Address - Phone:513-864-1545
Practice Address - Fax:513-554-1102
Is Sole Proprietor?:No
Enumeration Date:2009-02-11
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN329962363LF0000X
OHNP10393363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2959660Medicaid
OHNP10393OtherOH LICENSE
OH2959660Medicaid