Provider Demographics
NPI:1235604315
Name:TATAW-BIAKA, ESTHER (RN)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:TATAW-BIAKA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 FOX GLEN DR E
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-7798
Mailing Address - Country:US
Mailing Address - Phone:419-787-1425
Mailing Address - Fax:
Practice Address - Street 1:247 FOX GLEN DR E
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-7798
Practice Address - Country:US
Practice Address - Phone:419-787-1425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-04
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health