Provider Demographics
NPI:1790528404
Name:TINSLEY, SANEA A
Entity type:Individual
Prefix:
First Name:SANEA
Middle Name:A
Last Name:TINSLEY
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 1:1 UNIVERSITY RD # 5423
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:NC
Mailing Address - Zip Code:28372-5099
Mailing Address - Country:US
Mailing Address - Phone:918-998-7858
Mailing Address - Fax:
Practice Address - Street 1:1 UNIVERSITY RD # 5423
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:NC
Practice Address - Zip Code:28372-5099
Practice Address - Country:US
Practice Address - Phone:918-998-7858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-18
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program