Provider Demographics
NPI:1528367828
Name:DANIELS, VERLENA (RN)
Entity Type:Individual
Prefix:
First Name:VERLENA
Middle Name:
Last Name:DANIELS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:VERLENA
Other - Middle Name:
Other - Last Name:EDDINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2135 DANA AVE
Mailing Address - Street 2:STE 400
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45207-1327
Mailing Address - Country:US
Mailing Address - Phone:513-357-7289
Mailing Address - Fax:513-357-7290
Practice Address - Street 1:2135 DANA AVE
Practice Address - Street 2:STE 400
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45207-1327
Practice Address - Country:US
Practice Address - Phone:513-357-7289
Practice Address - Fax:513-357-7290
Is Sole Proprietor?:No
Enumeration Date:2011-03-25
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN337810163W00000X
OHCOA.19244-NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH350210Medicare PIN