Healthcare Provider Details

I. General information

NPI: 1437972429
Provider Name (Legal Business Name): PRINCESS AYANA STEPHENS-THOMAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2024
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5113 COLERAIN AVE APT 8
CINCINNATI OH
45223-1067
US

IV. Provider business mailing address

5113 COLERAIN AVE APT 8
CINCINNATI OH
45223-1067
US

V. Phone/Fax

Practice location:
  • Phone: 513-687-7066
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: