MEDICARE: EUNIKA DENISE HISLE

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
1	164W00000X	Licensed Practical Nurse	195987	OH

General Provider Information

NPI Number	:	1730994237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EUNIKA DENISE HISLE

Provider Business Mailing Address
First Line	:	9150 TRIPOLI DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45251-3040
Country	:	US
Telephone Number	:	513-213-3308
Fax Number	:	513-559-0014

Provider Business Practice Location Address
First Line	:	9150 TRIPOLI DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45251-3040
Country	:	US
Telephone Number	:	513-213-3308
Fax Number	:	513-559-0014

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2025
Last Update Date	:	03/05/2026

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Directions to “ EUNIKA DENISE HISLE ” Practice Location

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