Provider Demographics
NPI:1093542284
Name:ALLEN, TRINAE SHANELL
Entity type:Individual
Prefix:
First Name:TRINAE
Middle Name:SHANELL
Last Name:ALLEN
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 1:7865 NEWBEDFORD AVE # 2
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-1044
Mailing Address - Country:US
Mailing Address - Phone:513-516-4555
Mailing Address - Fax:
Practice Address - Street 1:7865 NEWBEDFORD AVE # 2
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-1044
Practice Address - Country:US
Practice Address - Phone:513-516-4555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-19
Last Update Date:2024-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant