Ta-Tanisha Edwards

NPI 1205502069 · on the registry since 2021 · sole proprietor

Practice

Address: 5215 Colley Ave
Norfolk, VA 23508
Phone: (757) 629-4352
Organisation at this address: Gowem Inc.
C.A.R.E Llc
Quality 1st
Lenora Black
Lemich Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 24

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-08-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia