Tamika L Alston, LPN
Individual provider Active NPI Licensed Practical Nurse · Henderson, NC
NPI 1710245741 · NPPES record last updated Apr 27, 2012
Key facts
- NPI
- 1710245741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 75199 (NC)
- Practice address
- 943 W Andrews Ave
Suite H
Henderson, NC 27536-2516 - Phone
- (704) 939-1100
- Fax
- (704) 939-1173
- NPI assigned
- Apr 27, 2012
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75199 | NC | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 75199 | NC | Yes |
Addresses
Primary practice location
943 W Andrews Ave
Suite H
Henderson, NC 27536-2516
Mailing address
284 Executive Park Drive
Suite 100
Concord, NC 28025-1894
Phone (704) 939-1100
Other providers in Henderson, NC
- Aes Medical PC
- Agape Recovery Center
- Munirah Ali
- April Allen
- Alpha Omega Health, Inc
- Alternative Behavioral Concepts, LLC
- Alternative Family Services Inc
- Alternative Home Health Care LLC
- Stephany Varela Alva
- American Human Services, Inc.
All providers in Henderson, NC · Licensed Practical Nurse in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2012. 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.