Provider Demographics
NPI:1336307685
Name:SEES, DENISE Y
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:Y
Last Name:SEES
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 1:11615 TRITTS ST NW
Mailing Address - Street 2:
Mailing Address - City:CANAL FULTON
Mailing Address - State:OH
Mailing Address - Zip Code:44614-8617
Mailing Address - Country:US
Mailing Address - Phone:330-958-4598
Mailing Address - Fax:
Practice Address - Street 1:11615 TRITTS ST NW
Practice Address - Street 2:
Practice Address - City:CANAL FULTON
Practice Address - State:OH
Practice Address - Zip Code:44614-8617
Practice Address - Country:US
Practice Address - Phone:330-958-4598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH106217145799Medicaid