Individual
TANISHA BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4425 PORTSMOUTH BLVD STE 210A, CHESAPEAKE, VA 23321-2152
(757) 228-6003
Mailing address
4425 PORTSMOUTH BLVD STE 210A, CHESAPEAKE, VA 23321-2152
(757) 228-6003
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
0001307384
VA
251E00000X
Home Health Agency
Primary
HCO253230
VA
3747P1801X
Personal Care Attendant
HCO253230
VA
385H00000X
Respite Care
HCO253230
VA
Other
Enumeration date
02/16/2023
Last updated
04/03/2023
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