Provider Demographics
NPI:1477377398
Name:MCAFEE, TIARA
Entity type:Individual
Prefix:MRS
First Name:TIARA
Middle Name:
Last Name:MCAFEE
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 1:1415 N 23RD ST
Mailing Address - Street 2:A
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19121-3848
Mailing Address - Country:US
Mailing Address - Phone:267-622-3977
Mailing Address - Fax:
Practice Address - Street 1:1415 N 23RD ST
Practice Address - Street 2:A
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19121-3848
Practice Address - Country:US
Practice Address - Phone:267-622-3977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide