Provider Demographics
NPI:1861751935
Name:TANYI, CATHERINE FUALEFAC
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:FUALEFAC
Last Name:TANYI
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 1:6525 LANDOVER RD
Mailing Address - Street 2:APT 202
Mailing Address - City:CHEVERLY
Mailing Address - State:MD
Mailing Address - Zip Code:20785-1427
Mailing Address - Country:US
Mailing Address - Phone:240-501-3861
Mailing Address - Fax:
Practice Address - Street 1:6525 LANDOVER RD
Practice Address - Street 2:APT 202
Practice Address - City:CHEVERLY
Practice Address - State:MD
Practice Address - Zip Code:20785-1427
Practice Address - Country:US
Practice Address - Phone:240-501-3861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-10
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide