Provider Demographics
NPI:1083320386
Name:ROBINSON-NORRIS, TANAIA
Entity Type:Individual
Prefix:
First Name:TANAIA
Middle Name:
Last Name:ROBINSON-NORRIS
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 1:2111 GIBBONS CT
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-1614
Mailing Address - Country:US
Mailing Address - Phone:202-702-0947
Mailing Address - Fax:
Practice Address - Street 1:4721 ALABAMA AVE SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-5006
Practice Address - Country:US
Practice Address - Phone:202-300-6521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant