Provider Demographics
NPI:1386478279
Name:HALL, DANASIA SEONTE (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:DANASIA
Middle Name:SEONTE
Last Name:HALL
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6146 JOYCE LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-4004
Mailing Address - Country:US
Mailing Address - Phone:513-486-8466
Mailing Address - Fax:
Practice Address - Street 1:6146 JOYCE LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-4004
Practice Address - Country:US
Practice Address - Phone:513-486-8466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-02
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH523640163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse