Provider Demographics
NPI:1922390640
Name:DAYTON, VERNA VERDENE (STNA)
Entity Type:Individual
Prefix:MRS
First Name:VERNA
Middle Name:VERDENE
Last Name:DAYTON
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:MRS
Other - First Name:VERNA
Other - Middle Name:VERDENE
Other - Last Name:GILBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:STNA
Mailing Address - Street 1:1957 WESTERN AVE APT 211
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-7509
Mailing Address - Country:US
Mailing Address - Phone:740-775-8532
Mailing Address - Fax:
Practice Address - Street 1:1957 WESTERN AVE APT 211
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-7509
Practice Address - Country:US
Practice Address - Phone:740-775-8532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-13
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X, 376J00000X
OH377081730198376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker