Healthcare Provider Details

I. General information

NPI: 1811843469
Provider Name (Legal Business Name): TALEIGH CIERRA LOUISE FITCH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7225 LOWER KROFT RD
MOUNT PERRY OH
43760-9611
US

IV. Provider business mailing address

7225 LOWER KROFT ROAD
MOUNT PERRY OH
43760
US

V. Phone/Fax

Practice location:
  • Phone: 740-294-3123
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: