Provider Demographics
NPI:1467140046
Name:JOSEPH, TASHA (APRN)
Entity Type:Individual
Prefix:
First Name:TASHA
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 CORPORATE CIR STE 200
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7729
Mailing Address - Country:US
Mailing Address - Phone:702-735-8000
Mailing Address - Fax:702-563-2937
Practice Address - Street 1:2310 CORPORATE CIR STE 200
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7729
Practice Address - Country:US
Practice Address - Phone:702-735-8000
Practice Address - Fax:702-563-2937
Is Sole Proprietor?:No
Enumeration Date:2023-05-01
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV866773363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily