Provider Demographics
NPI:1821838509
Name:SMIRNOVA, EVGENIIA
Entity type:Individual
Prefix:
First Name:EVGENIIA
Middle Name:
Last Name:SMIRNOVA
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 1:6359 BRANCH HILL MIAMIVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-7534
Mailing Address - Country:US
Mailing Address - Phone:513-399-2383
Mailing Address - Fax:
Practice Address - Street 1:6359 BRANCH HILL MIAMIVILLE RD
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-7534
Practice Address - Country:US
Practice Address - Phone:513-399-2383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant