Provider Demographics
NPI:1346565785
Name:YANCEY, RONARAH SENCHAL
Entity type:Individual
Prefix:MS
First Name:RONARAH
Middle Name:SENCHAL
Last Name:YANCEY
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 1:12 RANDOLPH CT
Mailing Address - Street 2:APT. 303
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-4310
Mailing Address - Country:US
Mailing Address - Phone:513-485-5159
Mailing Address - Fax:
Practice Address - Street 1:12 RANDOLPH CT
Practice Address - Street 2:APT. 303
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-4310
Practice Address - Country:US
Practice Address - Phone:513-485-5159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH126742164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse