Provider Demographics
NPI:1558097634
Name:PARRIES, TAMMRA MARCIA (STNA)
Entity Type:Individual
Prefix:
First Name:TAMMRA
Middle Name:MARCIA
Last Name:PARRIES
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5253 JOSEPH ST
Mailing Address - Street 2:
Mailing Address - City:MAPLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44137-1533
Mailing Address - Country:US
Mailing Address - Phone:216-526-9601
Mailing Address - Fax:
Practice Address - Street 1:5253 JOSEPH ST
Practice Address - Street 2:
Practice Address - City:MAPLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44137-1533
Practice Address - Country:US
Practice Address - Phone:216-526-9601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-29
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide