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NPI Code Detail

MEDICARE: TANIESHA MARINEY ADMINISTRATOR

MEDICARE: TANIESHA MARINEY ADMINISTRATOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1376K00000XNurse's AideCO

General Provider Information

NPI Number : 1578149167
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANIESHA MARINEY ADMINISTRATOR
Provider Business Mailing Address
First Line : 9511 NW 86TH TER
Second Line :
City : KANSAS CITY
State : MO
Zip : 64153-1445
Country : US
Telephone Number : 172-033-3820
Fax Number :
Provider Business Practice Location Address
First Line : 9511 NW 86TH TER
Second Line :
City : KANSAS CITY
State : MO
Zip : 64153-1445
Country : US
Telephone Number : 720-333-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2021
Last Update Date : 03/23/2021

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Directions to “ TANIESHA MARINEY ADMINISTRATOR” Practice Location

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