Provider Demographics
NPI:1538045943
Name:TAMU, ABIBATU VERONICA SAMANYA
Entity type:Individual
Prefix:
First Name:ABIBATU
Middle Name:VERONICA SAMANYA
Last Name:TAMU
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 1:165 NORTON AVE APT 7
Mailing Address - Street 2:
Mailing Address - City:SOUTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02375-1221
Mailing Address - Country:US
Mailing Address - Phone:857-249-0366
Mailing Address - Fax:
Practice Address - Street 1:165 NORTON AVE APT 7
Practice Address - Street 2:
Practice Address - City:SOUTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02375-1221
Practice Address - Country:US
Practice Address - Phone:857-249-0366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health