Provider Demographics
NPI:1548755630
Name:PATRICK, DONEISHA CHEREE
Entity Type:Individual
Prefix:MRS
First Name:DONEISHA
Middle Name:CHEREE
Last Name:PATRICK
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 1:32447 HAMILTON CT APT 206B
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-4856
Mailing Address - Country:US
Mailing Address - Phone:216-543-9781
Mailing Address - Fax:
Practice Address - Street 1:4435 ARDMORE RD
Practice Address - Street 2:
Practice Address - City:SOUTH EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44121-3622
Practice Address - Country:US
Practice Address - Phone:216-541-0541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-29
Last Update Date:2024-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH451721163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical