Provider Demographics
NPI:1922400589
Name:CARTER, TANESIA RENEE (RN)
Entity type:Individual
Prefix:MRS
First Name:TANESIA
Middle Name:RENEE
Last Name:CARTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 TIMBER HILL DR
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-6636
Mailing Address - Country:US
Mailing Address - Phone:513-978-3301
Mailing Address - Fax:
Practice Address - Street 1:253 TIMBER HILL DR
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-6636
Practice Address - Country:US
Practice Address - Phone:513-978-3301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-25
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.155401164W00000X
IN27070751A164W00000X
OHRN.498428163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical Nurse