Basic Information
| Provider Information | |||||||||
| NPI: | 1851525109 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CIENER | ||||||||
| FirstName: | DAISY | ||||||||
| MiddleName: | ADELE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3841 GREEN HILLS VILLAGE DR STE 200 | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372152691 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6159363898 | ||||||||
| FaxNumber: | 6153224374 | ||||||||
| Practice Location | |||||||||
| Address1: | 2200 CHILDRENS WAY STE 1014 | ||||||||
| Address2: | PEDIATRIC EMERGENCY MEDICINE | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372329001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6159363898 | ||||||||
| FaxNumber: | 6153224374 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/14/2009 | ||||||||
| LastUpdateDate: | 03/25/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/25/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 60669 | WI | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | 35-099837 | OH | N | Allopathic & Osteopathic Physicians | Pediatrics | 2080P0204X | 60669 | WI | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Emergency Medicine | 2080P0204X | 54004 | TN | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Emergency Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1851525109 | 05 | WI | MEDICAID | 0069692 | 05 | OH | MEDICAID |