Individual
TASHA ANITA DOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3803 N ELM ST, GREENSBORO, NC 27455-2593
(336) 394-8648
Mailing address
3803 N ELM ST, GREENSBORO, NC 27455-2593
(336) 342-4517
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
5007589
NC
Other
Enumeration date
04/13/2015
Last updated
07/28/2015
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