Tenisha Buford

Individual provider Active NPI Home Health Aide · North Little Rock, AR

NPI 1417517145 · NPPES record last updated Jun 14, 2019

Key facts

NPI
1417517145
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
600 Dorothy Dr
North Little Rock, AR 72117-3544
Phone
(501) 650-1353
NPI assigned
Jun 14, 2019
Sex
Female
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

600 Dorothy Dr
North Little Rock, AR 72117-3544

Mailing address

600 Dorothy Dr
North Little Rock, AR 72117-3544
Phone (501) 650-1353

Other providers in North Little Rock, AR

All providers in North Little Rock, AR · Home Health Aide in Arkansas

Sources for this page

Verify at the official NPI Registry.