Provider Demographics
NPI:1922236504
Name:OGLESBY, CHAUNTYSE DANIELLE (RN)
Entity type:Individual
Prefix:
First Name:CHAUNTYSE
Middle Name:DANIELLE
Last Name:OGLESBY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:262 E MELFORD AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45405-1631
Mailing Address - Country:US
Mailing Address - Phone:937-321-3406
Mailing Address - Fax:
Practice Address - Street 1:262 E MELFORD AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45405-1631
Practice Address - Country:US
Practice Address - Phone:937-321-3406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-23
Last Update Date:2024-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH224900000X
OHRN471566163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No224900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMastectomy Fitter