Provider Demographics
NPI:1639447055
Name:ASMAH, GERALDINE ELIZABETH (RN)
Entity type:Individual
Prefix:MRS
First Name:GERALDINE
Middle Name:ELIZABETH
Last Name:ASMAH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6397 PADDOCK RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45216-2218
Mailing Address - Country:US
Mailing Address - Phone:513-638-1734
Mailing Address - Fax:
Practice Address - Street 1:6394 PADDOCK ROAD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45216-2218
Practice Address - Country:US
Practice Address - Phone:513-638-1734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH337564163W00000X
KY1104606163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse