Individual
MS. SHONTAL MONIQUE TAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4518 SCHIMPFS LN, MOBILE, AL 36619-1622
(251) 661-0612
(251) 661-0612
Mailing address
4518 SCHIMPFS LN, MOBILE, AL 36619-1622
(251) 661-0612
(251) 661-0612
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2060489
AL
164W00000X
Licensed Practical Nurse
PN5204157
FL
164X00000X
Licensed Vocational Nurse
2060489
AL
164X00000X
Licensed Vocational Nurse
PN5204157
FL
172A00000X
Driver
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374700000X
Technician
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374T00000X
Religious Nonmedical Nursing Personnel
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
11/17/2012
Last updated
11/17/2012
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