Provider Demographics
NPI:1447094677
Name:DURRETT, NIKKIA LANAY
Entity type:Individual
Prefix:
First Name:NIKKIA
Middle Name:LANAY
Last Name:DURRETT
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 1:9336 ROUND TOP RD APT F
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-2529
Mailing Address - Country:US
Mailing Address - Phone:513-954-2040
Mailing Address - Fax:
Practice Address - Street 1:9336 ROUND TOP RD APT F
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-2529
Practice Address - Country:US
Practice Address - Phone:513-954-2040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-22
Last Update Date:2024-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant