Tawana Motes
Individual provider Active NPI Licensed Vocational Nurse · Fort Detrick, MD
NPI 1730416355 · NPPES record last updated Nov 4, 2009
Key facts
- NPI
- 1730416355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 223182 (TX)
- Practice address
- 1425 Porter St
Fort Detrick, MD 21702-9211 - Phone
- (301) 619-4653
- NPI assigned
- Nov 4, 2009
- 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 |
|---|---|---|---|
| 223182 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 223182 | TX | Yes |
Addresses
Primary practice location
1425 Porter St
Fort Detrick, MD 21702-9211
Mailing address
1425 Porter St
Fort Detrick, MD 21702-9211
Phone (301) 619-4653
Other providers in Fort Detrick, MD
- James Wallace Martin
- Bill Kirk Mayhew
- Mitchell Scott Meyers
- Leann Marie Micheals
- Joseph Morrissette
- Karen Sellers Myers
- Jerome F Pierson
- Geraldine Clare Powers
- Paula Myoshi Pullen
- Manmohan Vishwanath Ranadive
All providers in Fort Detrick, MD · Licensed Vocational Nurse in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2009. 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.