Provider Demographics
NPI:1699585752
Name:SECEN, SHARON (IP)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:
Last Name:SECEN
Suffix:
Gender:F
Credentials:IP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5240 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45233-1627
Mailing Address - Country:US
Mailing Address - Phone:513-208-7125
Mailing Address - Fax:
Practice Address - Street 1:5240 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45233-1627
Practice Address - Country:US
Practice Address - Phone:513-208-7125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care