Provider Demographics
NPI:1457795536
Name:ROBERTS, DANEKA LASHAWN
Entity Type:Individual
Prefix:MS
First Name:DANEKA
Middle Name:LASHAWN
Last Name:ROBERTS
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 1:51 N PERSHING AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-6230
Mailing Address - Country:US
Mailing Address - Phone:234-208-1368
Mailing Address - Fax:
Practice Address - Street 1:51 N PERSHING AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-6230
Practice Address - Country:US
Practice Address - Phone:234-208-1368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-19
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No372600000XNursing Service Related ProvidersAdult Companion