Provider Demographics
NPI:1013640721
Name:MITCHELL, FALAYAN
Entity Type:Individual
Prefix:MS
First Name:FALAYAN
Middle Name:
Last Name:MITCHELL
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 1:11067 QUAILRIDGE CT APT 5
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-2741
Mailing Address - Country:US
Mailing Address - Phone:513-227-7856
Mailing Address - Fax:
Practice Address - Street 1:11067 QUAILRIDGE CT APT 5
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-2741
Practice Address - Country:US
Practice Address - Phone:513-227-7856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-08
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant