Provider Demographics
NPI:1982400131
Name:EARL, AQUEYA GERINAE (CNA)
Entity type:Individual
Prefix:
First Name:AQUEYA
Middle Name:GERINAE
Last Name:EARL
Suffix:
Gender:
Credentials:CNA
Other - Prefix:MRS
Other - First Name:AQUEYA
Other - Middle Name:GERINAE
Other - Last Name:BIGGS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CNA
Mailing Address - Street 1:756 CARPENTER ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38112-2316
Mailing Address - Country:US
Mailing Address - Phone:901-430-6813
Mailing Address - Fax:
Practice Address - Street 1:756 CARPENTER ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38112-2316
Practice Address - Country:US
Practice Address - Phone:901-430-6813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN213509374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide