Provider Demographics
NPI:1295575538
Name:HONEYWELL, TASHEL TIFFANY (BSN)
Entity type:Individual
Prefix:
First Name:TASHEL
Middle Name:TIFFANY
Last Name:HONEYWELL
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 WAINWRIGHT PL
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06614-3248
Mailing Address - Country:US
Mailing Address - Phone:347-965-7761
Mailing Address - Fax:
Practice Address - Street 1:31 WAINWRIGHT PL
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06614-3248
Practice Address - Country:US
Practice Address - Phone:347-965-7761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT195031163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health