Provider Demographics
NPI:1295606242
Name:BOREMAN, TANEESA RAYNEE (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:TANEESA
Middle Name:RAYNEE
Last Name:BOREMAN
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7005 S EDGERTON RD STE 100
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-4210
Mailing Address - Country:US
Mailing Address - Phone:440-630-9430
Mailing Address - Fax:
Practice Address - Street 1:7005 S EDGERTON RD STE 100
Practice Address - Street 2:
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-4210
Practice Address - Country:US
Practice Address - Phone:440-630-9430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-15
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0037503363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner