Provider Demographics
NPI:1063880250
Name:LANCASTER, MARYANN (CNP)
Entity type:Individual
Prefix:
First Name:MARYANN
Middle Name:
Last Name:LANCASTER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:MARYANN
Other - Middle Name:
Other - Last Name:HUHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:4685 FOREST AVE
Mailing Address - Street 2:STE C
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-3397
Mailing Address - Country:US
Mailing Address - Phone:513-853-4722
Mailing Address - Fax:513-852-8525
Practice Address - Street 1:3145 HAMILTON MASON RD
Practice Address - Street 2:STE 200B 1ST FLR
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-8557
Practice Address - Country:US
Practice Address - Phone:513-844-1000
Practice Address - Fax:513-896-3727
Is Sole Proprietor?:No
Enumeration Date:2015-09-04
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA17896-NP363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care