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CANISIA BONGFEN TATAH
NPI 1114683067
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since November 15, 2021
5209 S HARVARD AVE APT C, TULSA, OK 74135(405) 875-2075 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Canisia Bongfen Tatah NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANISIA BONGFEN TATAH (NPI 1114683067) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1114683067
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCANISIA BONGFEN TATAH
Location Address5209 S HARVARD AVE APT CTulsa, OK 74135-3546
Mailing Address5209 S Harvard Ave Apt CTulsa, OK 74135-3546
Phone(405) 875-2075
Sole ProprietorNo
Enumeration DateNovember 15, 2021
NPPES CertifiedNovember 15, 2021
✔ NPI 1114683067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5209 S HARVARD AVE APT C, Tulsa, OK 74135
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Canisia Tatah's NPI number?

The NPI number for Canisia Tatah is 1114683067. It was assigned to this individual provider in the NPPES registry on November 15, 2021.

Where is Canisia Tatah located?

Canisia Tatah practices at 5209 S Harvard Ave Apt C, Tulsa, OK 74135. The listed phone number is (405) 875-2075.

What is Canisia Tatah's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Canisia Tatah was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.