Individual
MISS TASHEKIA KADEEN COULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2001 NE 48TH CT STE 4, FT LAUDERDALE, FL 33308-4512
(954) 771-3929
Mailing address
3060 LA MIRAGE DR, LAUDERHILL, FL 33319-4246
(954) 850-8218
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11024082
FL
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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