Provider Demographics
NPI:1730118613
Name:SZERSZEN, OLIVIA MAE
Entity type:Individual
Prefix:MRS
First Name:OLIVIA
Middle Name:MAE
Last Name:SZERSZEN
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 1:2464 FLEETWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-8321
Mailing Address - Country:US
Mailing Address - Phone:513-545-9665
Mailing Address - Fax:
Practice Address - Street 1:7364 READING RD STE B
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-3451
Practice Address - Country:US
Practice Address - Phone:513-400-4123
Practice Address - Fax:513-810-3124
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-02
Last Update Date:2025-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.336192163W00000X
FLRN.9470948163W00000X
OHAPRN.CNP.0033846363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2591262Medicaid