Provider Demographics
NPI:1710735154
Name:PAO, EUGENIE FLORE
Entity type:Individual
Prefix:
First Name:EUGENIE
Middle Name:FLORE
Last Name:PAO
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 1:11835 KENN RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-1942
Mailing Address - Country:US
Mailing Address - Phone:513-238-4651
Mailing Address - Fax:
Practice Address - Street 1:11835 KENN RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-1942
Practice Address - Country:US
Practice Address - Phone:513-238-4651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide