Provider Demographics
NPI:1316665946
Name:STEPHENS, OZRIELLE ELAINA
Entity type:Individual
Prefix:
First Name:OZRIELLE
Middle Name:ELAINA
Last Name:STEPHENS
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 1:1721 FALLBROOK LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-1011
Mailing Address - Country:US
Mailing Address - Phone:513-545-0993
Mailing Address - Fax:
Practice Address - Street 1:1721 FALLBROOK LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-1011
Practice Address - Country:US
Practice Address - Phone:513-545-0993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-19
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant