Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MRS. TANIA JEANETTE MODELISTE
Active
Individual
MRS. TANIA JEANETTE MODELISTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024183611
VA
363LF0000X
Family Nurse Practitioner
202205372NP-PP
OR
363LF0000X
Family Nurse Practitioner
F11210527
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202205372NP-PP
LICENSE
OR
Enumeration date
04/22/2022
Last updated
02/25/2025
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