Search › Ohio › 363LP0200X
Beth Bourquin, CNP
NPI 1144732579 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1 Childrens Plz
Dayton, OH 45404 - Phone
- (937) 641-5444
- Organisation at this address
- Robert Bloom Optical
Dayton Children'S Hospital
Dayton Children'S Hospital
Dayton Children'S Hospital
Dayton Children'S HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 621
Additional practice sites
- 1711 Germantown Pike, Dayton, OH
- 792 Northwoods Blvd, Vandalia, OH
- 3333 W Tech Rd, Miamisburg, OH
- 662 N Main St, Springboro, OH
- 6044 Wilmington Pike, Centerville, OH
- 8501 Old Troy Pike, Huber Heights, OH
- 7787 Cox Ln, West Chester, OH
- 860 Valley St., Dayton, OH
- 3301 Dayton Xenia Rd Ste 200, Beavercreek, OH
- 4475 Far Hills Ave, Kettering, OH
Registry record
- Primary taxonomy
- 363LP0200X
363LP0200X
- Also registered as
- 363LP0222X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio