Individual provider · NPI-1

Tavia Nikasha Bruce, CNA

Home Health Aide · West Palm Beach, FL

NPI number1831488907

StatusActive

Last updated in NPPESMar 29, 2011

Details

NPI: 1831488907
Entity type: Individual (NPI-1)
Name: Miss Tavia Nikasha Bruce
Credential: CNA
Sex: Female
Sole proprietor: Yes
Enumeration date: Mar 29, 2011
Last updated: Mar 29, 2011

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
374U00000X	Home Health Aide	CNA233580	FL	Yes
372600000X	Adult Companion	CNA233580	FL
3747A0650X	Technician, Attendant Care Provider	CNA233580	FL
3747P1801X	Technician, Personal Care Attendant	CNA233580	FL
376J00000X	Homemaker	CNA233580	FL
376K00000X	Nurse's Aide	CNA233580	FL

Practice location

1820 N Congress Ave
Apt E107
West Palm Beach, FL 33401-8202

Phone 561-201-1409

Mailing address

1820 N Congress Ave
Apt E107
West Palm Beach, FL 33401-8202

Phone 561-201-1409

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