Provider Demographics
NPI:1568149045
Name:MCFARLAND, TEDAISJAH (STNA)
Entity Type:Individual
Prefix:MS
First Name:TEDAISJAH
Middle Name:
Last Name:MCFARLAND
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 1:205 AVONDALE AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43223-1505
Mailing Address - Country:US
Mailing Address - Phone:614-560-7238
Mailing Address - Fax:
Practice Address - Street 1:205 AVONDALE AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43223-1505
Practice Address - Country:US
Practice Address - Phone:614-560-7238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide