Provider Demographics
NPI:1538783923
Name:STEARNES, DAJA NIKOLE (STNA)
Entity type:Individual
Prefix:
First Name:DAJA
Middle Name:NIKOLE
Last Name:STEARNES
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:726 HEMLOCK DR
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44132-2124
Mailing Address - Country:US
Mailing Address - Phone:216-512-4188
Mailing Address - Fax:
Practice Address - Street 1:726 HEMLOCK DR
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44132-2124
Practice Address - Country:US
Practice Address - Phone:216-512-4188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-02
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No174200000XOther Service ProvidersMeals
No372500000XNursing Service Related ProvidersChore ProviderGroup - Single Specialty
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty