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NPI Code Detail

MEDICARE: TANESHA MORRISON RN

MEDICARE: TANESHA MORRISON RN
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
1163W00000XRegistered Nurse811112-01NY

General Provider Information

NPI Number : 1164765749
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANESHA MORRISON RN
Provider Business Mailing Address
First Line : 4061 MURDOCK AVE
Second Line :
City : BRONX
State : NY
Zip : 10466-2322
Country : US
Telephone Number : 646-247-4618
Fax Number :
Provider Business Practice Location Address
First Line : 1300 WATERS PL
Second Line :
City : BRONX
State : NY
Zip : 10461-2714
Country : US
Telephone Number : 347-848-3590
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2013
Last Update Date : 09/19/2025

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