Provider Demographics
NPI:1073100699
Name:FRANKLIN, VONDREA
Entity Type:Individual
Prefix:
First Name:VONDREA
Middle Name:
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 W POINT PLEASANT CIR APT 28
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-6597
Mailing Address - Country:US
Mailing Address - Phone:513-276-9580
Mailing Address - Fax:
Practice Address - Street 1:1566 PLEASANT RUN DR APT 4
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-1145
Practice Address - Country:US
Practice Address - Phone:513-276-9580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide