Richardson, Taneisha Monique

Richardson, Taneisha Monique is an sole proprietor health care provider with primary practice located at 3500 Gaston Ave , Dallas TX 75246-2017. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Richardson, Taneisha Monique can be contacted via phone (817) 913-9503.

Contact Information

Primary practice address
3500 Gaston Ave Dallas TX 75246-2017
Phone: (817) 913-9503
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 808534 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F07190383 Texas

Profile Details

NPI number 1144876749
LBN Legal business name Richardson, Taneisha Monique
Credentials MSN APRN NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2019
Last updated Aug 12th, 2019 - about 7 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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