Provider Demographics
NPI:1841402260
Name:RENO, DAWN ELAINE
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:ELAINE
Last Name:RENO
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 1:5970 SUNFISH CREEK RD
Mailing Address - Street 2:
Mailing Address - City:PIKETON
Mailing Address - State:OH
Mailing Address - Zip Code:45661-9783
Mailing Address - Country:US
Mailing Address - Phone:740-289-3745
Mailing Address - Fax:
Practice Address - Street 1:26 FRANKLIN HOLLOW RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN FURNACE
Practice Address - State:OH
Practice Address - Zip Code:45629-8931
Practice Address - Country:US
Practice Address - Phone:740-574-9751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2578269OtherHOME HEALTH AIDE