Provider Demographics
NPI:1376956599
Name:TCHINANG, NADINE FLORE EMAHA
Entity Type:Individual
Prefix:
First Name:NADINE
Middle Name:FLORE EMAHA
Last Name:TCHINANG
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 1:5642 SAFARI DR
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45044-8672
Mailing Address - Country:US
Mailing Address - Phone:513-293-8186
Mailing Address - Fax:
Practice Address - Street 1:5642 SAFARI DR
Practice Address - Street 2:
Practice Address - City:LIBERTY TWP
Practice Address - State:OH
Practice Address - Zip Code:45044-8672
Practice Address - Country:US
Practice Address - Phone:513-293-8186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-05
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH375077163W00000X
OH023579363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse