Provider Demographics
NPI:1811236078
Name:ARMSTRONG, TAWAHNA ANTWINETTE (NURSE)
Entity Type:Individual
Prefix:
First Name:TAWAHNA
Middle Name:ANTWINETTE
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7861 CLOVERNOOK AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-3509
Mailing Address - Country:US
Mailing Address - Phone:513-510-7386
Mailing Address - Fax:
Practice Address - Street 1:7861 CLOVERNOOK AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-3509
Practice Address - Country:US
Practice Address - Phone:513-510-7386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN-132794164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse