Provider Demographics
NPI:1053157842
Name:OLIVIERRE, TENEISHA
Entity type:Individual
Prefix:MS
First Name:TENEISHA
Middle Name:
Last Name:OLIVIERRE
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 1:2337 BEDFORD AVE APT 4D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-5290
Mailing Address - Country:US
Mailing Address - Phone:646-398-2546
Mailing Address - Fax:
Practice Address - Street 1:2337 BEDFORD AVE APT 4D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-5290
Practice Address - Country:US
Practice Address - Phone:646-398-2546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula