Provider Demographics
NPI:1326820200
Name:BATTLE, MARY ANTIONETTE
Entity Type:Individual
Prefix:MISS
First Name:MARY
Middle Name:ANTIONETTE
Last Name:BATTLE
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 1:4518 WINTON RD APT 26
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45232-1845
Mailing Address - Country:US
Mailing Address - Phone:513-374-2913
Mailing Address - Fax:
Practice Address - Street 1:4518 WINTON RD APT 26
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45232-1845
Practice Address - Country:US
Practice Address - Phone:513-374-2913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide