Tahjaniera A Greenwade, LVN is a
Licensed Vocational Nurse based in San Clemente, California. Tahjaniera A Greenwade is licensed to practice in California (license number 733672) and her current practice location is
1100 Calle Del Cerro Apt 149l, San Clemente, California. She can be reached at her office (for appointments etc.) via phone at
(502) 203-7762.
NPI number for Tahjaniera A Greenwade is 1699468850 and her current mailing address is 1100 Calle Del Cerro Apt 149l, San Clemente, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699468850.
Provider's Profile
| Full Name | Tahjaniera A Greenwade |
|---|
| Gender | Female |
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| Speciality | Licensed Vocational Nurse |
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| Location | 1100 Calle Del Cerro Apt 149l, San Clemente, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699468850
- Provider Enumeration Date: 06/01/2023
- Last Update Date: 06/01/2023
Medical Identifiers
Medical identifiers for Tahjaniera A Greenwade such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699468850 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 733672 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tahjaniera A Greenwade is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tahjaniera A Greenwade, LVN
1100 Calle Del Cerro Apt 149l,
San Clemente, CA 92672-6029
Ph: (502) 203-7762 | Tahjaniera A Greenwade, LVN
1100 Calle Del Cerro Apt 149l,
San Clemente, CA 92672-6029
Ph: (502) 203-7762 |
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