Provider Demographics
NPI:1114764313
Name:AIKINS, SHERIA MICHELLE1
Entity type:Individual
Prefix:
First Name:SHERIA
Middle Name:MICHELLE1
Last Name:AIKINS
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 1:1018 MCPHERSON AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45205-1837
Mailing Address - Country:US
Mailing Address - Phone:513-307-1187
Mailing Address - Fax:
Practice Address - Street 1:1018 MCPHERSON AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45205-1837
Practice Address - Country:US
Practice Address - Phone:513-307-1187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2055748164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse