Provider Demographics
NPI:1518758200
Name:DUBOSE, RONNSHEA NICOLE (STNA)
Entity type:Individual
Prefix:
First Name:RONNSHEA
Middle Name:NICOLE
Last Name:DUBOSE
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3956 HAZEL AVE # 2
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-3828
Mailing Address - Country:US
Mailing Address - Phone:513-222-8101
Mailing Address - Fax:
Practice Address - Street 1:3956 HAZEL AVE # 2
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45212-3828
Practice Address - Country:US
Practice Address - Phone:513-222-8101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health