Provider Demographics
NPI:1174239263
Name:WEEKS, DEANNA LEE
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:LEE
Last Name:WEEKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DEANNA
Other - Middle Name:LEE
Other - Last Name:WEEKS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5537 CLEARVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45248-3215
Mailing Address - Country:US
Mailing Address - Phone:859-803-1269
Mailing Address - Fax:
Practice Address - Street 1:5537 CLEARVIEW AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45248-3215
Practice Address - Country:US
Practice Address - Phone:859-803-1269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide