Provider Demographics
NPI:1710384128
Name:DEIGNI, TANIA (RN)
Entity Type:Individual
Prefix:
First Name:TANIA
Middle Name:
Last Name:DEIGNI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1829 CATON AVE
Mailing Address - Street 2:APT. 1J
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-2882
Mailing Address - Country:US
Mailing Address - Phone:917-635-8673
Mailing Address - Fax:
Practice Address - Street 1:1829 CATON AVE
Practice Address - Street 2:APT. 1J
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-2882
Practice Address - Country:US
Practice Address - Phone:917-635-8673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-01
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY689600163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse