Tenisha Pradhan, NP
Nurse Practitioner, Gerontology in Pinehurst, NC. Individual provider (NPI-1).
NPI number1366165490
StatusActive
Last updated in NPPESSep 23, 2022
Details
- NPI
- 1366165490
- Entity type
- Individual (NPI-1)
- Name
- Tenisha Pradhan
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 23, 2022
- Certification date
- Sep 23, 2022
- Last updated
- Sep 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 5016935 | NC | Yes |
Practice location
205 Rattlesnake TrlPinehurst, NC 28374-7639
Phone 910-295-1781
Mailing address
2301 Wilder Cliff St Apt 107Raleigh, NC 27615-2447
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