Provider Demographics
NPI:1336748144
Name:ARTISE', TENA LIN'NEESE
Entity Type:Individual
Prefix:
First Name:TENA
Middle Name:LIN'NEESE
Last Name:ARTISE'
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 1:1285 N KING ST STE 6
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23669-2233
Mailing Address - Country:US
Mailing Address - Phone:757-964-9565
Mailing Address - Fax:
Practice Address - Street 1:1285 N KING ST STE 6
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23669-2233
Practice Address - Country:US
Practice Address - Phone:757-964-9565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)