Provider Demographics
NPI:1972487221
Name:EDMONDSON, TINASHA
Entity type:Individual
Prefix:MRS
First Name:TINASHA
Middle Name:
Last Name:EDMONDSON
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:TINASHA
Other - Middle Name:
Other - Last Name:HURT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 531
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-0531
Mailing Address - Country:US
Mailing Address - Phone:419-819-6863
Mailing Address - Fax:
Practice Address - Street 1:9953 DARROW PARK DR APT 111H
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-3409
Practice Address - Country:US
Practice Address - Phone:419-819-6863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-31
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker