Provider Demographics
NPI:1255089173
Name:ASKEW, DANIELLE TIESHA
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:TIESHA
Last Name:ASKEW
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 1:9108 MAPLE GROVE RD APT 27
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:OH
Mailing Address - Zip Code:44288-1107
Mailing Address - Country:US
Mailing Address - Phone:216-744-5379
Mailing Address - Fax:
Practice Address - Street 1:9108 MAPLE GROVE RD APT 27
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:OH
Practice Address - Zip Code:44288-1107
Practice Address - Country:US
Practice Address - Phone:216-744-5379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-10
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health