Provider Demographics
NPI:1164138608
Name:GIVENS, CONNIE YALANDA (RN)
Entity Type:Individual
Prefix:MISS
First Name:CONNIE
Middle Name:YALANDA
Last Name:GIVENS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3102 VIENNA WOODS DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-6096
Mailing Address - Country:US
Mailing Address - Phone:513-335-2157
Mailing Address - Fax:
Practice Address - Street 1:3102 VIENNA WOODS DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-6096
Practice Address - Country:US
Practice Address - Phone:513-335-2157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-27
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH314381163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse