Nettles, Taquasha

Nettles, Taquasha is an sole proprietor health care provider with primary practice located at 3708 Gannet Dr , Mesquite TX 75181-2982. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health Service, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is her primary health care specialty. Nettles, Taquasha can be contacted via phone (972) 940-3553.

Contact Information

Primary practice address
3708 Gannet Dr Mesquite TX 75181-2982
Phone: (972) 940-3553
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1134852494
LBN Legal business name Nettles, Taquasha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2022
Last updated Apr 5th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1134852494 NPPES
Michigan MEDICAID 5220

Popular Providers