Dixie Lee Childers Menser, CNP
Individual provider Active NPI Family Nurse Practitioner · Marysville, OH
NPI 1760670335 · NPPES record last updated Jan 18, 2017
Key facts
- NPI
- 1760670335
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 09394-NP (OH)
- Practice address
- 969 W 5TH St
Marysville, OH 43040-1070 - Phone
- (937) 644-3615
- NPI assigned
- Oct 9, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09394-NP | OH | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 09394-NP | OH | Yes |
Addresses
Primary practice location
969 W 5TH St
Marysville, OH 43040-1070
Mailing address
969 W 5TH St
Marysville, OH 43040-1070
Phone (937) 644-3615
Other providers in Marysville, OH
- Central Ohio Behavioral Consulting, LLC
- Central Ohio Clinic of Chiropractic, LLC
- Cep America LLC
- Christina Chapman
- Michael Chapman
- Chrisanne Gordon, MD
- Brandon Christen
- Michael Stephen Chua
- David Cingle
- City of Marysville
All providers in Marysville, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.