Brown, Tanisha

Brown, Tanisha is an individual health care provider with primary practice located at 2029 Valleygate Dr Ste 101 , Fayetteville NC 28304-3688. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Brown, Tanisha can be contacted via phone (910) 323-2103.

Contact Information

Primary practice address
2029 Valleygate Dr Ste 101 Fayetteville NC 28304-3688
Fax: (910) 323-2219
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 18753 North Carolina

Profile Details

NPI number 1316182736
LBN Legal business name Brown, Tanisha
Credentials Certified in Nursing Administration (CNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2008
Last updated Dec 15th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316182736 NPPES
North Carolina Other 18753 NORTH CAROLINA BOARD OF NURSING

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