Takiya Lashay Harley, RN
Registered Nurse, Home Health in Leesburg, FL. Individual provider (NPI-1).
NPI number1831909720
StatusActive
Last updated in NPPESJan 13, 2025
Details
- NPI
- 1831909720
- Entity type
- Individual (NPI-1)
- Name
- Takiya Lashay Harley
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 13, 2025
- Certification date
- Jan 12, 2025
- Last updated
- Jan 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WH0200X | Registered Nurse, Home Health | RN9295324 | FL | Yes |
Practice location
311 Pine StLeesburg, FL 34748-5971
Phone 352-636-6085
Mailing address
5818 Whisper Pine DrLeesburg, FL 34748-1333
Phone 352-636-6085
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