Individual
DESTINYE ELAINE MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1323 W RIVERVIEW AVE, DAYTON, OH 45402-6216
(908) 590-5283
Mailing address
1323 W RIVERVIEW AVE, DAYTON, OH 45402-6216
(908) 590-5283
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
163W00000X
Registered Nurse
Primary
273130
SC
177F00000X
Lodging Provider
—
—
251J00000X
Nursing Care Agency
—
—
374T00000X
Religious Nonmedical Nursing Personnel
—
—
Other
Enumeration date
02/24/2019
Last updated
04/24/2025
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