Provider Demographics
NPI:1801502091
Name:NIX SAUNDERS, TEKESHA S
Entity type:Individual
Prefix:
First Name:TEKESHA
Middle Name:S
Last Name:NIX SAUNDERS
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 1:400 KEYSTONE ST
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-1722
Mailing Address - Country:US
Mailing Address - Phone:330-913-9621
Mailing Address - Fax:
Practice Address - Street 1:400 KEYSTONE ST
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-1722
Practice Address - Country:US
Practice Address - Phone:330-913-9621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide