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Tanisha Grant, RN
General Practice Registered Nurse in Dade City, Florida
NPI 1972268092

Tanisha Grant is a General Practice Registered Nurse based in Dade City, FL and is specialized in General Practice. Tanisha Grant practices in Dade City, FL and has the professional credentials of RN. The NPI Number for Tanisha Grant is 1972268092 and holds a License No. RN9457208 (Florida).

The current practice location address for Tanisha Grant is 37177 North Ave, Dade City, FL and can be reached out via phone at 678-973-8470.

Location: 37177 North Ave, Dade City, FL, 33523
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972268092
Provider Name
Tanisha Grant
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
37177 North Ave, Dade City, FL, 33523
Phone Number
678-973-8470
Fax Number
Provider Enumeration Date
11/03/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN7459208 01 FL RN
institution
Provider Business Practice Location Address Details
Address
37177 North Ave
City
Dade City
State
Florida
Zip
33523
Phone Number
678-973-8470
Fax Number
person
Provider Business Mailing Address Details
Address
37177 North Ave
City
Dade City
State
Florida
Zip
33523
Phone Number
678-973-8470
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
163WG0000X
License No.
RN9457208 (Florida)
Definition
Definition to come...
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