Healthcare Provider Details

I. General information

NPI: 1770459851
Provider Name (Legal Business Name): TANIJA AALIYAH DRUMMER RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS TANIJA AALIYAH BROWN DRUMMER

II. Dates (important events)

Enumeration Date: 10/15/2025
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20611 EUCLID AVE
EUCLID OH
44117-1521
US

IV. Provider business mailing address

512 FAIRMOUNT AVE
ELYRIA OH
44035-3514
US

V. Phone/Fax

Practice location:
  • Phone: 855-967-2436
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.518284
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: