Provider Demographics
NPI:1215245147
Name:RANALLI, ALEXIS SANTEE (CNP)
Entity type:Individual
Prefix:MRS
First Name:ALEXIS
Middle Name:SANTEE
Last Name:RANALLI
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:MRS
Other - First Name:ALEXIS
Other - Middle Name:ANNE
Other - Last Name:SANTEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:4685 FOREST AVE.
Mailing Address - Street 2:SUITE C
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-3359
Mailing Address - Country:US
Mailing Address - Phone:513-853-4731
Mailing Address - Fax:513-852-8525
Practice Address - Street 1:10525 MONTGOMERY RD.
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-4401
Practice Address - Country:US
Practice Address - Phone:513-745-9800
Practice Address - Fax:513-246-4050
Is Sole Proprietor?:No
Enumeration Date:2010-09-14
Last Update Date:2018-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.11610-NP363LA2200X
OHAPRN.CNP.11610363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3085601Medicaid