Henderson, Tiesha Shanay

Henderson, Tiesha Shanay is an sole proprietor health care provider with primary practice located at 179 Frowein Rd , Center Moriches NY 11934-1921. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Henderson, Tiesha Shanay can be contacted via phone (631) 902-6468.

Contact Information

Primary practice address
179 Frowein Rd Center Moriches NY 11934-1921
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 813137-01 New York

Profile Details

NPI number 1275286965
LBN Legal business name Henderson, Tiesha Shanay
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2022
Last updated Feb 2nd, 2022 - about 2 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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