Provider Demographics
NPI:1093123689
Name:LITTLEJOHN, BAIYINA (STNA)
Entity Type:Individual
Prefix:
First Name:BAIYINA
Middle Name:
Last Name:LITTLEJOHN
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:BAIYINA
Other - Middle Name:
Other - Last Name:HAKIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:STNA
Mailing Address - Street 1:1924 ROWLEY AVE
Mailing Address - Street 2:DOWNSTAIRS
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44109-1763
Mailing Address - Country:US
Mailing Address - Phone:216-799-8506
Mailing Address - Fax:
Practice Address - Street 1:1924 ROWLEY AVE
Practice Address - Street 2:DOWNSTAIRS
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44109-1763
Practice Address - Country:US
Practice Address - Phone:216-799-8506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-26
Last Update Date:2014-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide