Provider Demographics
NPI:1033990387
Name:NAGLE, TALISHA NICOLE
Entity Type:Individual
Prefix:
First Name:TALISHA
Middle Name:NICOLE
Last Name:NAGLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:854 E 28TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16504-1284
Mailing Address - Country:US
Mailing Address - Phone:814-841-0665
Mailing Address - Fax:
Practice Address - Street 1:2619 MONROE AVE
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16504-2819
Practice Address - Country:US
Practice Address - Phone:814-841-0665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No374U00000XNursing Service Related ProvidersHome Health Aide