MISS TINA GAYLE ETAYEM LPN
NPI 1013263896
Licensed Practical Nurse in Springfield, OH

Q: What is Tina Etayem's NPI number?

The NPI number for Tina Etayem is 1013263896. It was assigned to this individual provider in the NPPES registry on July 30, 2012. The provider is also known as Mrs. Tina Gayle Mitchell.

Q: What is Tina Etayem's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Tina Etayem was last updated on July 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 30, 2012

1736 HILLSIDE AVE, SPRINGFIELD, OH 45503(937) 831-3874 Get Directions Write a Review

NPPES record last updated: July 30, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Miss Tina Gayle Etayem Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS TINA GAYLE ETAYEM LPN (NPI 1013263896) is an individual licensed practical nurse in Springfield, Ohio, licensed in Ohio (PN 074282 MEDS) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1013263896

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMISS TINA GAYLE ETAYEMCredential: LPN

Location Address1736 HILLSIDE AVESpringfield, OH 45503-4508

Mailing Address1736 Hillside AveSpringfield, OH 45503-4508 · (937) 831-3874

Phone(937) 831-3874

Sole ProprietorYes

Enumeration DateJuly 30, 2012

✔ NPI 1013263896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in OH · PN 074282 MEDS

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1736 HILLSIDE AVE, Springfield, OH 45503

Open in Google Maps ↗

Other Names 1

Former Name (1)Mrs. Tina Gayle Mitchell

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tina Etayem's NPI number?

The NPI number for Tina Etayem is 1013263896. It was assigned to this individual provider in the NPPES registry on July 30, 2012. The provider is also known as Mrs. Tina Gayle Mitchell.

Where is Tina Etayem located?

Tina Etayem practices at 1736 Hillside Ave, Springfield, OH 45503. The listed phone number is (937) 831-3874.

What is Tina Etayem's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Tina Etayem was last updated on July 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.