Markray, Tanquenika

Markray, Tanquenika is an individual health care provider with primary practice located at 351 Hearne Ave , Shreveport LA 71103-2019. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Markray, Tanquenika can be contacted via phone (318) 603-7218.

Contact Information

Primary practice address
351 Hearne Ave Shreveport LA 71103-2019
Phone: (318) 603-7218
Fax: (318) 364-1718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP08926 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP132093 Texas

Profile Details

NPI number 1376092510
LBN Legal business name Markray, Tanquenika
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2016
Last updated May 2nd, 2018 - about 8 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 1376092510 NPPES
Louisiana MEDICAID 2458507

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