Oconnor, Tanisha Anteka

Oconnor, Tanisha Anteka is an individual health care provider with primary practice located at 600 Celebrate Life Pkwy , Newnan GA 30265-8001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Oconnor, Tanisha Anteka can be contacted via phone (301) 537-4234.

Contact Information

Primary practice address
600 Celebrate Life Pkwy Newnan GA 30265-8001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP119158 / RN 735173 Texas

Profile Details

NPI number 1982913224
LBN Legal business name Oconnor, Tanisha Anteka
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2010
Last updated Jun 23rd, 2021 - about 3 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 1982913224 NPPES
Texas MEDICAID 348033701

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