Provider Demographics
NPI:1609668367
Name:BOYD, TANISHA LATOYA (CNA)
Entity type:Individual
Prefix:
First Name:TANISHA
Middle Name:LATOYA
Last Name:BOYD
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7039 STONINGTON LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28227-8157
Mailing Address - Country:US
Mailing Address - Phone:347-342-6969
Mailing Address - Fax:347-342-6969
Practice Address - Street 1:7039 STONINGTON LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28227-8157
Practice Address - Country:US
Practice Address - Phone:347-342-6969
Practice Address - Fax:347-342-6969
Is Sole Proprietor?:No
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC371818376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide