MEDICARE: TAISHA GIRAULD 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
1	163WC1500X	Community Health Registered Nurse	N40308	NY

General Provider Information

NPI Number	:	1821925769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAISHA GIRAULD RN

Provider Business Mailing Address
First Line	:	780 SAINT ANNS AVE APT 5E
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10456-7798
Country	:	US
Telephone Number	:	718-300-9640
Fax Number	:

Provider Business Practice Location Address
First Line	:	780 SAINT ANNS AVE APT 5E
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10456-7798
Country	:	US
Telephone Number	:	718-300-9640
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2026
Last Update Date	:	05/05/2026

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