Healthcare Provider Details

I. General information

NPI: 1518146729
Provider Name (Legal Business Name): T'IEN MILLER WALKER R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2007
Last Update Date: 10/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8592 CARE DR
GARFIELD HTS OH
44125-2037
US

IV. Provider business mailing address

8592 CARE DR
GARFIELD HTS OH
44125-2037
US

V. Phone/Fax

Practice location:
  • Phone: 216-702-1200
  • Fax:
Mailing address:
  • Phone: 216-702-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number337009
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: