Provider Demographics
NPI:1083213532
Name:DENSON-GARRETT, AYANA ELISABETH
Entity Type:Individual
Prefix:
First Name:AYANA
Middle Name:ELISABETH
Last Name:DENSON-GARRETT
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 1:1009 BURTON AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-2205
Mailing Address - Country:US
Mailing Address - Phone:513-704-1072
Mailing Address - Fax:
Practice Address - Street 1:1009 BURTON AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-2205
Practice Address - Country:US
Practice Address - Phone:513-704-1072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-25
Last Update Date:2020-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376J00000XNursing Service Related ProvidersHomemaker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0121154Medicaid