Provider Demographics
NPI:1962834465
Name:WARE, TAMEIKA MEICHELL (RN)
Entity Type:Individual
Prefix:MRS
First Name:TAMEIKA
Middle Name:MEICHELL
Last Name:WARE
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 1:3629 INGLESIDE RD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5003
Mailing Address - Country:US
Mailing Address - Phone:216-322-5351
Mailing Address - Fax:
Practice Address - Street 1:3629 INGLESIDE RD
Practice Address - Street 2:
Practice Address - City:SHAKER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44122-5003
Practice Address - Country:US
Practice Address - Phone:216-322-5351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-07
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN368123163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHRN368123OtherOHIO BOARD OF NURSING