Provider Demographics
NPI:1467281592
Name:ASKEW, TIESHA
Entity type:Individual
Prefix:
First Name:TIESHA
Middle Name:
Last Name:ASKEW
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 1:433 GLEN PL SW
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44647-6374
Mailing Address - Country:US
Mailing Address - Phone:330-313-9805
Mailing Address - Fax:
Practice Address - Street 1:433 GLEN PL SW
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44647-6374
Practice Address - Country:US
Practice Address - Phone:330-313-9805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion