Provider Demographics
NPI:1275345282
Name:WHEELINGTON, TANIA
Entity type:Individual
Prefix:
First Name:TANIA
Middle Name:
Last Name:WHEELINGTON
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 1:110 S HARTNETT AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63135-2102
Mailing Address - Country:US
Mailing Address - Phone:314-565-1603
Mailing Address - Fax:
Practice Address - Street 1:110 S HARTNETT AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63135-2102
Practice Address - Country:US
Practice Address - Phone:314-565-1603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-25
Last Update Date:2025-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide