Provider Demographics
NPI:1770459851
Name:DRUMMER, TANIJA AALIYAH (RN, BSN)
Entity type:Individual
Prefix:MISS
First Name:TANIJA
Middle Name:AALIYAH
Last Name:DRUMMER
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:MISS
Other - First Name:TANIJA
Other - Middle Name:AALIYAH
Other - Last Name:BROWN DRUMMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:512 FAIRMOUNT AVE
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-3514
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:20611 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44117-1521
Practice Address - Country:US
Practice Address - Phone:855-967-2436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.518284163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse