Shontal Taite, LPN

NPI 1992049738 · on the registry since 2012 · sole proprietor

Practice

Address: 4518 Schimpfs Ln
Mobile, AL 36619
Phone: (251) 661-0612
Fax: (251) 661-0612

Registry record

Primary taxonomy: 164W00000X
164W00000X
Also registered as: 164W00000X
164X00000X
164X00000X
172A00000X
372500000X
372600000X
374700000X
3747A0650X
3747P1801X
374T00000X
374U00000X
376J00000X
376K00000X
Licence states on file: AL, FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-11-17

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 Alabama