Provider Demographics
NPI:1851525109
Name:CIENER, DAISY ADELE
Entity Type:Individual
Prefix:
First Name:DAISY
Middle Name:ADELE
Last Name:CIENER
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 1:3841 GREEN HILLS VILLAGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2691
Mailing Address - Country:US
Mailing Address - Phone:615-936-3898
Mailing Address - Fax:615-322-4374
Practice Address - Street 1:2200 CHILDRENS WAY STE 1014
Practice Address - Street 2:PEDIATRIC EMERGENCY MEDICINE
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-9001
Practice Address - Country:US
Practice Address - Phone:615-936-3898
Practice Address - Fax:615-322-4374
Is Sole Proprietor?:No
Enumeration Date:2009-05-14
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI60669208000000X, 2080P0204X
OH35-099837208000000X
TN540042080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1851525109Medicaid
OH0069692Medicaid
OHH120490Medicare PIN
OH0069692Medicaid