Tanaiya Nixon, | |
733 Clocks Blvd, Massapequa, NY 11758-6903 | |
(631) 408-8185 | |
Not Available |
Full Name | Tanaiya Nixon |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 733 Clocks Blvd, Massapequa, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689415317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 350252 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Tanaiya Nixon, 733 Clocks Blvd, Massapequa, NY 11758-6903 Ph: (631) 408-8185 | Tanaiya Nixon, 733 Clocks Blvd, Massapequa, NY 11758-6903 Ph: (631) 408-8185 |
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Suzette Andrea Whyte, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4238 Merrick Rd, Massapequa, NY 11758 Phone: 516-900-1977 | |
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