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NPI Code Detail

MEDICARE: FERN DANISLAVS

MEDICARE:   FERN  DANISLAVS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12643198OTHEROHINDEPENDENT PROVIDER/HOME HEALTH AIDE

General Provider Information

NPI Number : 1336548767
Entity Type Code : Individual
Provider Name (Legal Business Name) : FERN DANISLAVS
Provider Business Mailing Address
First Line : 4288 CIDER MILL DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45245-1602
Country : US
Telephone Number : 513-528-0748
Fax Number :
Provider Business Practice Location Address
First Line : 4288 CIDER MILL DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45245-1602
Country : US
Telephone Number : 513-528-0748
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2014
Last Update Date : 01/18/2026

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Directions to “ FERN DANISLAVS ” Practice Location

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