Provider Demographics
NPI:1568833473
Name:PEPPERS, CHAUNA MARIE
Entity Type:Individual
Prefix:MS
First Name:CHAUNA
Middle Name:MARIE
Last Name:PEPPERS
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:CHAUNA
Other - Middle Name:MARIE
Other - Last Name:HOOD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2872 SAINT CATHERINE PL
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-5912
Mailing Address - Country:US
Mailing Address - Phone:513-371-6053
Mailing Address - Fax:
Practice Address - Street 1:2872 SAINT CATHERINE PL
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-5912
Practice Address - Country:US
Practice Address - Phone:513-371-6053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-19
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No372600000XNursing Service Related ProvidersAdult Companion
No374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing Personnel
No376J00000XNursing Service Related ProvidersHomemaker