Provider Demographics
NPI:1528165297
Name:RONAN, DENISE LORETTA
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:LORETTA
Last Name:RONAN
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 1:206 CHEROKEE ST
Mailing Address - Street 2:
Mailing Address - City:GERONIMO
Mailing Address - State:OK
Mailing Address - Zip Code:73543-9700
Mailing Address - Country:US
Mailing Address - Phone:580-355-0468
Mailing Address - Fax:
Practice Address - Street 1:206 CHEROKEE ST
Practice Address - Street 2:
Practice Address - City:GERONIMO
Practice Address - State:OK
Practice Address - Zip Code:73543-9700
Practice Address - Country:US
Practice Address - Phone:580-355-0468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered177F00000XOther Service ProvidersLodging
Not Answered347C00000XTransportation ServicesPrivate Vehicle
Not Answered376J00000XNursing Service Related ProvidersHomemaker
Not Answered385H00000XRespite Care FacilityRespite Care