Healthcare Provider Details

I. General information

NPI: 1881854057
Provider Name (Legal Business Name): TEIA M. ATKINS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2008
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 WERTZ AVE NW
CANTON OH
44708-4171
US

IV. Provider business mailing address

708 GREENWOOD AVE
AKRON OH
44320-1804
US

V. Phone/Fax

Practice location:
  • Phone: 234-214-8471
  • Fax:
Mailing address:
  • Phone: 330-338-2803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number402099
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: