Provider Demographics
NPI:1275357980
Name:MALONE, NIYOKIA LA'SHERRIE
Entity type:Individual
Prefix:MRS
First Name:NIYOKIA
Middle Name:LA'SHERRIE
Last Name:MALONE
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:NIYOKIA
Other - Middle Name:LA'SHERRIES
Other - Last Name:MAY-MALONE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9760 N CHURCH DR
Mailing Address - Street 2:
Mailing Address - City:PARMA HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-4671
Mailing Address - Country:US
Mailing Address - Phone:216-682-6767
Mailing Address - Fax:
Practice Address - Street 1:9760 N CHURCH DR
Practice Address - Street 2:
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-4671
Practice Address - Country:US
Practice Address - Phone:216-682-6767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-09
Last Update Date:2024-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No172A00000XOther Service ProvidersDriver
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant