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Search › Pennsylvania › 253Z00000X

Tanisha Holman

NPI 1316665748 · on the registry since 2022 · sole proprietor

Practice

Address
4601 Flat Rock Rd Unit 24
Philadelphia, PA 19127
Phone
(267) 325-1567
Organisation at this address
Nostalgia Well Support Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Also registered as
376J00000X
385H00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-08-22

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 Pennsylvania