Provider Demographics
NPI:1588229389
Name:MCNEAL, TANIKEE WRIGHT (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:TANIKEE
Middle Name:WRIGHT
Last Name:MCNEAL
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13601 N 22ND ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-4427
Mailing Address - Country:US
Mailing Address - Phone:813-307-8058
Mailing Address - Fax:
Practice Address - Street 1:13601 N 22ND ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-4427
Practice Address - Country:US
Practice Address - Phone:813-307-8058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-07
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9313062163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLRN9313062OtherRN LICENSE