Tawanta Trinell Stanley
Individual provider Active NPI Home Health Aide · Dundee, FL
NPI 1184407017 · NPPES record last updated Aug 15, 2023
Key facts
- NPI
- 1184407017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 1725 Canaan Loop
Dundee, FL 33838-4278 - Phone
- (863) 877-6691
- NPI assigned
- Aug 15, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
1725 Canaan Loop
Dundee, FL 33838-4278
Mailing address
1725 Canaan Loop
Dundee, FL 33838-4278
Phone (863) 877-6691
Other providers in Dundee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.