Provider Demographics
NPI:1801460399
Name:DENCHIK, HEATHER LEIGH (RN, BSN)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:LEIGH
Last Name:DENCHIK
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5502 TYRONDA LN
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45429-6138
Mailing Address - Country:US
Mailing Address - Phone:937-287-1411
Mailing Address - Fax:
Practice Address - Street 1:5502 TYRONDA LN
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45429-6138
Practice Address - Country:US
Practice Address - Phone:937-287-1411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.404096163W00000X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163W00000XNursing Service ProvidersRegistered Nurse