Provider Demographics
NPI:1659110070
Name:ZIEMSKI, TAMELA N
Entity type:Individual
Prefix:
First Name:TAMELA
Middle Name:N
Last Name:ZIEMSKI
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 1:50 PLEASANT RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:WV
Mailing Address - Zip Code:25570-5294
Mailing Address - Country:US
Mailing Address - Phone:216-326-8016
Mailing Address - Fax:
Practice Address - Street 1:50 PLEASANT RIDGE RD
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:WV
Practice Address - Zip Code:25570-5294
Practice Address - Country:US
Practice Address - Phone:216-326-8016
Practice Address - Fax:216-326-8016
Is Sole Proprietor?:No
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide