Healthcare Provider Details

I. General information

NPI: 1821925769
Provider Name (Legal Business Name): TAISHA GIRAULD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 SAINT ANNS AVE APT 5E
BRONX NY
10456-7798
US

IV. Provider business mailing address

780 SAINT ANNS AVE APT 5E
BRONX NY
10456-7798
US

V. Phone/Fax

Practice location:
  • Phone: 718-300-9640
  • Fax:
Mailing address:
  • Phone: 718-300-9640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberN40308
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: