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NPI Code Detail

MEDICARE: TERYSHA MARIE TALTON

MEDICARE: TERYSHA MARIE TALTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide183484IA

General Provider Information

NPI Number : 1083560650
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERYSHA MARIE TALTON
Provider Business Mailing Address
First Line : 2811 SE 22ND ST UNIT 1130
Second Line :
City : DES MOINES
State : IA
Zip : 50320-2416
Country : US
Telephone Number : 515-803-4195
Fax Number :
Provider Business Practice Location Address
First Line : 2811 SE 22ND ST UNIT 1130
Second Line :
City : DES MOINES
State : IA
Zip : 50320-2416
Country : US
Telephone Number : 515-803-4195
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2026
Last Update Date : 03/06/2026

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Directions to “ TERYSHA MARIE TALTON ” Practice Location

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