Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kasisi Daniels Provitt

Individual provider Licensed Practical Nurse · NPI 1881539914

Kasisi Daniels Provitt is a Licensed Practical Nurse in Youngstown, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2026

Practice location Address checks out

3344 Castalia Ave
Youngstown, OH 44505-4408
Phone: (313) 974-9521
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 171318 (OH)

Record details

NPI number1881539914
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 23, 2026
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026
Mailing address3344 Castalia Ave, Youngstown, OH 44505-4408

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