Provider Demographics
NPI:1972321487
Name:HILL, TEAIRIA MARIE (INDEPENDENT PROVIDER)
Entity type:Individual
Prefix:MS
First Name:TEAIRIA
Middle Name:MARIE
Last Name:HILL
Suffix:
Gender:F
Credentials:INDEPENDENT PROVIDER
Other - Prefix:MS
Other - First Name:TEAIRIA
Other - Middle Name:MARIE
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:INDEPENDENT PROVIDER
Mailing Address - Street 1:3936 HOILES AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43612-1258
Mailing Address - Country:US
Mailing Address - Phone:567-420-9364
Mailing Address - Fax:
Practice Address - Street 1:3936 HOILES AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43612-1258
Practice Address - Country:US
Practice Address - Phone:567-420-9364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider