Provider Demographics
NPI:1134815111
Name:FINDLEY, TISHETA (NURSE)
Entity type:Individual
Prefix:
First Name:TISHETA
Middle Name:
Last Name:FINDLEY
Suffix:
Gender:F
Credentials:NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3804 WILSON BLVD # 1147
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-1920
Mailing Address - Country:US
Mailing Address - Phone:703-855-3394
Mailing Address - Fax:
Practice Address - Street 1:10119 SUDLEY MANOR DR
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-2939
Practice Address - Country:US
Practice Address - Phone:703-855-3394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0002094088164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse