Provider Demographics
NPI:1972930410
Name:BANKS, TAMEIKA N (RN, BSN)
Entity Type:Individual
Prefix:MS
First Name:TAMEIKA
Middle Name:N
Last Name:BANKS
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3701 E 106TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44105-2415
Mailing Address - Country:US
Mailing Address - Phone:216-322-6805
Mailing Address - Fax:
Practice Address - Street 1:3701 E 106TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44105-2415
Practice Address - Country:US
Practice Address - Phone:216-322-6805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-30
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH362888163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse