Healthcare Provider Details

I. General information

NPI: 1891627444
Provider Name (Legal Business Name): TALEESIA TAYLOR NURSE AIDE, CAREGIVE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2914 N 48TH ST
MILWAUKEE WI
53210-1735
US

IV. Provider business mailing address

2914 N 48TH ST
MILWAUKEE WI
53210-1735
US

V. Phone/Fax

Practice location:
  • Phone: 414-520-6119
  • Fax:
Mailing address:
  • Phone: 414-520-6119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number390224
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: