Provider Demographics
NPI:1407621626
Name:BEASLEY, DIONNA LASHAWN
Entity Type:Individual
Prefix:
First Name:DIONNA
Middle Name:LASHAWN
Last Name:BEASLEY
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 1:683 MALLISON AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44307-1505
Mailing Address - Country:US
Mailing Address - Phone:234-499-0192
Mailing Address - Fax:
Practice Address - Street 1:683 MALLISON AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44307-1505
Practice Address - Country:US
Practice Address - Phone:234-499-0192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty