Provider Demographics
NPI:1154693828
Name:HALL, RONISHA MARION (LPN)
Entity type:Individual
Prefix:
First Name:RONISHA
Middle Name:MARION
Last Name:HALL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 SOUTHMEADOW CIRCLE UNIT 201
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-1716
Mailing Address - Country:US
Mailing Address - Phone:513-288-5246
Mailing Address - Fax:
Practice Address - Street 1:746 BEECHWOOD AVE APT 2
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45232-1716
Practice Address - Country:US
Practice Address - Phone:513-413-6226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-27
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH152-795164W00000X
OH5012345376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No376K00000XNursing Service Related ProvidersNurse's Aide