Thomas, Tackesha Tanesha

Thomas, Tackesha Tanesha is an sole proprietor health care provider with primary practice located at 9720 S Tacoma Way , Lakewood WA 98499-4456. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Thomas, Tackesha Tanesha can be contacted via phone (253) 304-7753.

Contact Information

Primary practice address
9720 S Tacoma Way Lakewood WA 98499-4456
Phone: (253) 304-7753
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 61136177 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP61136177 Washington

Profile Details

NPI number 1487244711
LBN Legal business name Thomas, Tackesha Tanesha
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2021
Last updated Dec 17th, 2021 - about 5 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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