Provider Demographics
NPI:1912683434
Name:AYDIN, ESSIE
Entity Type:Individual
Prefix:
First Name:ESSIE
Middle Name:
Last Name:AYDIN
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 1:5117 MEDINA RD
Mailing Address - Street 2:
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-1127
Mailing Address - Country:US
Mailing Address - Phone:330-689-8752
Mailing Address - Fax:
Practice Address - Street 1:1299 EASTWOOD AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44305-1380
Practice Address - Country:US
Practice Address - Phone:330-524-3200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide