Staten, Takara Monique

Staten, Takara Monique is an sole proprietor health care provider with primary practice located at 7800 San Felipe Blvd Apt 504 , Austin TX 78729-7694. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Staten, Takara Monique can be contacted via phone (701) 495-3540.

Contact Information

Primary practice address
7800 San Felipe Blvd Apt 504 Austin TX 78729-7694
Phone: (701) 495-3540
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X NA0061032783 Texas

Profile Details

NPI number 1043926710
LBN Legal business name Staten, Takara Monique
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2023
Last updated Jan 26th, 2023 - 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 1043926710 NPPES
Texas MEDICAID 376K00000X

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