Provider Demographics
NPI:1104556844
Name:HOWARD, TAMICA SHANTA
Entity type:Individual
Prefix:
First Name:TAMICA
Middle Name:SHANTA
Last Name:HOWARD
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 1:8265 SANDY LN # 2
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-3915
Mailing Address - Country:US
Mailing Address - Phone:513-227-0080
Mailing Address - Fax:
Practice Address - Street 1:8265 SANDY LN # 2
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-3915
Practice Address - Country:US
Practice Address - Phone:513-227-0080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty