Tart, Tanisha Keriel

Tart, Tanisha Keriel is an sole proprietor health care provider with primary practice located at 120 Coastal Horizons Dr , Shallotte NC 28470-6094. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Tart, Tanisha Keriel can be contacted via phone (910) 754-4515.

Contact Information

Primary practice address
120 Coastal Horizons Dr Shallotte NC 28470-6094
Phone: (910) 754-4515
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5019957 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5019957 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 27936 South Carolina

Profile Details

NPI number 1407606486
LBN Legal business name Tart, Tanisha Keriel
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2024
Last updated Apr 30th, 2024 - about 2 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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