Provider Demographics
NPI:1467232272
Name:GAYE, TANKASEH PATIENCE
Entity Type:Individual
Prefix:
First Name:TANKASEH
Middle Name:PATIENCE
Last Name:GAYE
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 1:4616 PREWETT RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76137-1525
Mailing Address - Country:US
Mailing Address - Phone:682-332-0937
Mailing Address - Fax:
Practice Address - Street 1:4616 PREWETT RD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76137-1525
Practice Address - Country:US
Practice Address - Phone:682-332-0937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-02
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC566221376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide