Provider Demographics
NPI:1760172100
Name:REMBERT, TAMEKA SHONTE (RN)
Entity Type:Individual
Prefix:
First Name:TAMEKA
Middle Name:SHONTE
Last Name:REMBERT
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 1:2615 GEORGE BUSBEE PKWY NW # 11269
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-4981
Mailing Address - Country:US
Mailing Address - Phone:470-858-8050
Mailing Address - Fax:
Practice Address - Street 1:2615 GEORGE BUSBEE PKWY NW # 11269
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-4981
Practice Address - Country:US
Practice Address - Phone:470-858-8050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN253629163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse