Last Name First Name Middle Name License Type Out Of State License O/S .

Transcription

Last ochstrasserDetchonTiltonRuthMoevesWillisFirst oleCandaceKarinKarishmaStaceyBethMarthaMiddle ThereseNicholeMAnneKayAnn EpsteinRAnnElizabethJaneFaheyElizabethLouise BrownAnnLynnReneeMarieALicense TypeCNPCNPCNPCNPCNPRN CNPCNPCNPRN CNPCNPCNPRN CNPCNPCNPCNPRN CNPYvonneRNJamesRNMCNPPeriCNPAnnCNPElizabeth Roderer CNSOut of State DOHOHOHOHOHOHOHOHOHOHOHOHOHOHOHOHOHOHO/S License .10652APRN.CNP.16530APRN.CNS.03131O/S Expiration e laborating PhysicianNot NeededNot NeededNot NeededNot NeededNot NeededNot NeededOn fileOn fileNot NeededNot NeededNot NeededNot NeededNot NeededNot NeededNot NeededNot NeededNot NeededNot NeededNot NeededNot NeededOn fileOn fileOn fileOn fileOn fileOn fileOn fileOn fileOn fileNot NeededOn fileOn fileNot NeededOn fileOn fileOn fileOn fileOn fileOn fileOn fileOn fileOn fileOn fileNot NeededOn fileOn fileOn fileOn fileOn fileOn fileOn fileOn fileOn fileOn fileOn fileOn fileOn fileOn fileOn fileOn fileOn fileOn fileNotification /16/20204/16/20204/16/2020Auth to 0204/16/20204/16/20204/16/2020Practice LocationMailing AddressFamily First Med Ctr13403 Volvo WayNeurologic Associates905 Cedar Ck Suite 200Neurologic Associates905 Cedar Ck Suite 200Neurologic Associates905 Cedar Ck Suite 200Women's Center of Winchester1820 Plaza DriveWinchester Neurological Consultants125A Medical CircleStephens City Family Medicine, LLC160 Warrior DriveCincinnati Children's Hospital Medical Ctr3333 Burnet AveWinchester Neurological Consultants125A Medical CircleWinchester Neurological Consultants125A Medical CircleValley Health Pulmonary Specialists190 Campus Blvd Suite 410Winchester Pediatric Clinic, PC190 Campus Blvd Suite 400Winchester Pediatric Clinic, PC190 Campus Blvd Suite 400Johns Hopkins Community Physicians12916 Conamar Dr Suite 204Johns Hopkins Community Physicians12916 Conamar Dr Suite 204Braddock Medical Group912 Seton DriveAmwell Telehealth75 State StreetPool of Bethesda Psychiatric Health210 W. Continental Rd #216BChildren's National Hospital111 Michigan Ave NWVH Winchester Pulmonary & Internal Medicine525 Amherst St Suite 104City State ZipHagerstown, MD 21742Winchester, VA 22601Winchester, VA 22601Winchester, VA 22601Winchester, VA 22601Winchester, VA 22601Stephens City, VA 22655Cincinnati, OH 45229Winchester, VA 22601Winchester, VA 22601Winchester, VA 22601Winchester, VA 22601Winchester, VA 22601Hagerstown, MD 21742Hagerstown, MD 21742Cumberland, MD 21502Boston, MA 02109Green Valley, AZ 85622Washington, DC 20010Winchester, VA 22601Cincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveTelemedicine - hims and hers340 Bryant St 3rd FlCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveJohns Hopkins Community Physicians12916 Conamar Dr Suite 204Cincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveWVU Medicine Ruby Memorial Hosp1 Medical Center DrKings Daughters Medical Center2201 Lexington AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveJohns Hopkins University (Telemedicine for WV601Patients)N. Caroline StCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229San Francisco, CA 94107Cincinnati, OH 45229Cincinnati, OH 45229Hagerstown, MD 21742Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Morgantown, WV 26505Ashland, KY 41101Cincinnati, OH 45229Baltimore, MD 21287Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229

icoleAnneAnnChristinaDianneMichelleMarieRaeMarie CNPCNPCNPCNPCNPCNPRN sOn fileOn fileNot NeededNot NeededOn fileNot NeededNot NeededOn fileOn fileOn fileOn fileOn fileOn fileOn fileOn fileOn fileOn fileOn fileOn fileNot NeededOn fileOn fileOn fileOn fileOn fileOn fileNot NeededOn fileOn fileOn fileOn fileNot NeededOn fileOn fileNot NeededNot NeededOn fileOn fileNot NeededOn fileOn fileOn fileNot NeededOn fileOn fileOn fileOn fileNot NeededOn fileOn fileNot NeededOn fileNot NeededOn fileOn fileOn fileOn fileOn fileOn fileOn fileNot nati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveSCFM Convenience Clinic160 Warrior DriveVH Winchester Family Practice611 E. Jubal EarlyVH Winchester Family Practice160 Merchant StWarren Memorial Hosp RHC Multispecialty Clinic120 N. Commerce Ave Suite 255SCFM Convenience Clinic160 Warrior DriveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveMeditelecare of West Virginia5400-D Big Tyler RdCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveNeurology Clinic8000 CenterviewCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveMountain Manor Treatment Ctr174 Thomas Johnson Dr #102Cincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveVH Winchester Pulmonary & Internal Medicine525 Amherst St Suite 104Cincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati, OH 45229Cincinnati, OH 45229Stephens City, VA 22655Winchester, VA 22601Winchester, VA 22601Front Royal, VA 22630Stephens City, VA 22655Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Charleston, WV 25313Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cordova, TN 38018Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Frederick, MD 21702Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Winchester, VA 22601Cincinnati, OH 45229Valley Health Metabolic and Bariatric PgmCincinnati Children's Hospital Medical CtrCincinnati Children's Hospital Medical CtrWinchester, VA 22601Cincinnati, OH 45229Cincinnati, OH 452291870 Amherst St Suite F3333 Burnet Ave3333 Burnet AveCarilion Pediatric Surgery102 Highland Av Suite 404Cincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveChildren's National Hospital9850 Key West AveShenandoah Memorial Hosp Multi-Specialty Clinic759 South Main StreetRecovery Care203 E. Patriot StCincinnati Children's Hospital Medical Ctr3333 Burnet AveShenandoah Memorial Hosp Multi-Specialty Clinic759 South Main Street, Suite 200Valley Behavioral Health755 South Main St.Cincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveMediTelecare of Iowa PLLC400 East Court Ave Ste 110Cincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveJohns Hopkins Community Physicians at North Bethesda6000 Executive BlvdCarillion Clinic - Pain Management2331 Franklin Rd SWCincinnati Children's Hospital Medical Ctr3333 Burnet AveCarillion Family Medicine901 Plantation RdValley Health Warren Memorial Hospital120 N. Commerce Ave Suite 255Johns Hopkins Hospital Dept of Radiation Oncology401 N Broadway, Suite 1440Cincinnati Children's Hospital Medical Ctr3333 Burnet AveCincinnati Children's Hospital Medical Ctr3333 Burnet AveAHN Neurology490 E North Ave, Suite 500Carillion Clinic Urology120 Akers Farm RdCarillion Clinic Urology120 Akers Farm RdRoanoke, VA 24013Cincinnati, OH 45229Cincinnati, OH 45229Rockville, MD 20850Woodstock, VA 22664Somerset, PA 15501Cincinnati, OH 45229Woodstock, VA 22664Woodstock, VA 22664Cincinnati, OH 45229Cincinnati, OH 45229Des Moines, IA 50309Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229Cincinnati, OH 45229North Bethesda, MD 20852Roanoke, VA 24016Cincinnati, OH 45229Blacksburg, VA 24060Front Royal, VA 22601Baltimore, MD 21287Cincinnati, OH 45229Cincinnati, OH 45229Pittsburgh, PA 15212Christiansburg, VA 24073Christiansburg, VA 24073Cincinnati Children's Hospital Medical CtrHolzer Center for Cancer Care3333 Burnet Ave170 Jackson PikeCincinnati, OH 45229Gallipolis, OH 45631Winchester VH Adv Valve & Aortic Center1870 Amherst StWinchester, VA 22601

derBurkeenJohnsonKaufman NPRN /2021CNP.APRN.18711, esYesNot NeededNot NeededOn fileNot NeededNot NeededOn fileOn fileOn fileOn fileNot NeededNot NeededNot NeededOn fileOn fileOn fileOn fileOn fileNot NeededNot NeededNot NeededNot NeededNot NeededOn fileOn fileNot NeededNot NeededNot NeededNot NeededNot NeededOn fileOn fileOn fileNot NeededNot NeededNot NeededOn fileNot NeededNot NeededNot NeededOn fileNot NeededOn fileOn fileOn fileNot NeededNot NeededNot NeededNot NeededNot NeededNot 7/20205/7/20205/7/20205/7/2020Valley Health Cardiothoracid SurgeonsPediatric Associates of WinchesterCincinnati Children's Hospital Medical CtrCarelton College Student Health & CounselingOne Medical - TelemedicineHolzer Health SystemOhio Health Physician Grp Primary CareCincinnati Children's Hospital Medical CtrOnCall Health & Aesthetic CareCarilion Clinic RheumatologySignify HealthSignify HealthSignify HealthSignify HealthHolzer Urgent CareSignify HealthTelemedicine1870 Amherst St1002-C Amherst St3333 Burnet Ave1 N College St110 Sutter St, 6th Floor100 Jackson Pike207 5th St3333 Burnet Ave402 W 4th St3 Riverside Circle4055 Valley View Ln4055 Valley View Ln4055 Valley View Ln4055 Valley View Ln100 Jackson Pike1333 W Birchwood Ave738 E. Oak Hill RdWinchester, VA 22601Winchester, VA 22601Cincinnati, OH 45229Northfield, MN 55057San Francisco, CA 94104Gallipolis, OH 45631Racine, OH 45771Cincinnati, OH 45229Ceredo, WV 25507Roanoke, VA 24016Dallas, TX 75244Dallas, TX 75244Dallas, TX 75244Dallas, TX 75244Gallipolis, OH 45631Chicago, IL 60626Chesterton, IN 46304Cincinnati Children's Hospital Medical CtrCarilion Clinic NeurologyCincinnati Children's Hospital Medical CtrTelemedicineSignify HealthSignify HealthGeorgia Hospice CareHolzer Health SYstemSignify HealthSignify HealthSouthcoast Urgent CareSignify HealthSignify HealthSignify HealthSignify HealthTelemedicineTelemedicineSignify Health TelemedicineSignify HealthTelemedicineSignify Health TelemedicineHolzer Health SystemCincinnati Children's Hospital Medical CtrWhitman Walker HealthWhitman Walker HealthSignify HealthSignify HealthSignify Health TelemedicineSignify Health TelemedicineSignify HealthSignify HealthTelemedicine3333 Burnet Ave3 Riverside Circle3333 Burnet AveCincinnati, OH 45229Roanoke, VA 24016Cincinnati, OH 45229Mesa, AZ 85203Tucson, AZ 85711Dallas, TX 75244Jessup, GA 31545Gallipolis, OH 45631Dallas, TX 75244Dallas, TX 75244Fairhaven, MA 02719Dallas, TX 75244Dallas, TX 75244Dallas, TX 75244Dallas, TX 75244Vidalia, GA 30474Orchard Lake, MI 48324Afton, NY 13730Dallas, TX 75244Avon, IN 46123Fayetteville, AR 72704Gallipolis, OH 45631Cincinnati, OH 45229Washington, DC 20009Washington, DC 20005Dallas, TX 75244Dallas, TX 75244Longmont, CO 80504San Antonio, TX 78233Dallas, TX 75244Dallas, TX 75244Chicago, IL 60645TelemedicineTelemedicineSignify Health TelemedicineAspire HealthcareTelemedicineTelemedicineSignify HealthSignify Health TelemedicineSignify Health TelemedicineSignify HealthSignify HealthSignify Health TelemedicineSignify HealthSignify HealthTelemedicine5400 E. Williams Blvd4055 Valley View Ln141 Main St100 Jackson Pike4055 Valley View Ln4055 Valley View Ln208 Mill Rd4055 Valley View Ln4055 Valley View Ln4055 Valley View Ln4055 Valley View Ln4055 Valley View Ln100 Jackson Pike3333 Burnet Ave1525 14th St NW1525 14th St NW4055 Valley View Ln4055 Valley View Ln4055 Valley View Ln4055 Valley View Ln651 Holiday Dr4055 Valley View Ln4055 Valley View Ln4055 Valley View Ln4055 Valley View Ln4055 Valley View LnDallas, TX 75248Dakota Dunes, SD 57049Mission, TX 78573Pittsburgh, PA 15220Canton, MI 48188Milwaukee, WI 53216Dallas, TX 75244Flint, MI 48505Cayce, SC 29033Dallas, TX 75244Dallas, TX 75244Edmond, OK 73025Dallas, TX 75244Dallas, TX 75244Richmond, TX 77407

nnykaGrayKellyJonesNatashaBurgess-Graham hanieCraytonShawntaNwosuNnediSablon NoYesNoNoNoNoYesYesYesNoNoOn fileNot NeededOn fileNot NeededNot NeededNot NeededOn fileNot NeededOn fileNot NeededOn fileNot NeededNot NeededNot NeededNot NeededNot NeededOn fileNot NeededNot NeededNot NeededOn fileOn fileNot NeededOn fileOn fileNot NeededNot NeededOn fileNot NeededOn fileNot NeededNot NeededNot NeededNot NeededNot NeededNot NeededNot NeededNot NeededNot NeededNot NeededNot NeededNot 20205/7/20205/7/20205/7/20205/7/20205/7/202

Dorius Heather Louise Brown CRNA MD R238153 1/28/2022 Yes Not Needed 4/14/2020 4/14/2020 Johns Hopkins Community Physicians 12916 Conamar Dr Suite 204 Hagerstown, MD 21742 McGee Kathleen Ann CNP OH APRN.CNP.01822 10/31/2021 Yes On file 4/14/2020 4/14/2020 Cincinnati Children's Hospital Medical Ctr 3333 Burnet Ave Cincinnati, OH 45229