Provider Demographics
NPI:1558684894
Name:PRICE, TANIKA L
Entity Type:Individual
Prefix:
First Name:TANIKA
Middle Name:L
Last Name:PRICE
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 1:3003 FERGUSON RD
Mailing Address - Street 2:2
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-2430
Mailing Address - Country:US
Mailing Address - Phone:513-386-8266
Mailing Address - Fax:
Practice Address - Street 1:3003 FERGUSON RD
Practice Address - Street 2:2
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-2430
Practice Address - Country:US
Practice Address - Phone:513-386-8266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-01
Last Update Date:2012-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH400831531108376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide