Provider Demographics
NPI:1760226781
Name:CALHOUN, TENISHA A
Entity type:Individual
Prefix:
First Name:TENISHA
Middle Name:A
Last Name:CALHOUN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 ARGONNE DR APT 129
Mailing Address - Street 2:
Mailing Address - City:PAINESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44077-4353
Mailing Address - Country:US
Mailing Address - Phone:440-313-6580
Mailing Address - Fax:
Practice Address - Street 1:707 ARGONNE DR APT 129
Practice Address - Street 2:
Practice Address - City:PAINESVILLE
Practice Address - State:OH
Practice Address - Zip Code:44077-4353
Practice Address - Country:US
Practice Address - Phone:440-313-6580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide