Provider Demographics
NPI:1558134882
Name:MILLS, TAMEESHA
Entity Type:Individual
Prefix:
First Name:TAMEESHA
Middle Name:
Last Name:MILLS
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 1:502 PARK AVE APT 13
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:OH
Mailing Address - Zip Code:44420-2036
Mailing Address - Country:US
Mailing Address - Phone:330-766-1269
Mailing Address - Fax:
Practice Address - Street 1:502 PARK AVE APT 13
Practice Address - Street 2:
Practice Address - City:GIRARD
Practice Address - State:OH
Practice Address - Zip Code:44420-2036
Practice Address - Country:US
Practice Address - Phone:330-766-1269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker