Individual
TANISHA NICOLE KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5312 JENNIFER POND WAY, RICHMOND, VA 23223-5852
(571) 458-8061
Mailing address
5312 JENNIFER POND WAY, RICHMOND, VA 23223-5852
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
0001252946
VA
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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