Provider Demographics
NPI:1891117396
Name:SEARLES, TWIANA
Entity Type:Individual
Prefix:
First Name:TWIANA
Middle Name:
Last Name:SEARLES
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 1:280 SHEPARD AVE
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-2417
Mailing Address - Country:US
Mailing Address - Phone:973-432-8833
Mailing Address - Fax:973-674-0504
Practice Address - Street 1:280 SHEPARD AVE
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-2417
Practice Address - Country:US
Practice Address - Phone:973-432-8833
Practice Address - Fax:973-674-0504
Is Sole Proprietor?:No
Enumeration Date:2014-01-17
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker