MS. TANISHA EBONI PETERS LPN
NPI 1194462952
Licensed Practical Nurse in Rockaway Beach, NY

Active since May 13, 2022
8101 BEACH CHANNEL DR APT 2E, ROCKAWAY BEACH, NY 11693(929) 800-7781 Get Directions Write a Review

NPPES record last updated: May 13, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Tanisha Eboni Peters Lpn NPPES

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

MS. TANISHA EBONI PETERS LPN (NPI 1194462952) is an individual licensed practical nurse in Rockaway Beach, New York, licensed in New York (344020-01) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1194462952
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. TANISHA EBONI PETERSCredential: LPN
Location Address8101 BEACH CHANNEL DR APT 2ERockaway Beach, NY 11693-1904
Mailing Address8101 Beach Channel Dr Apt 2eRockaway Beach, NY 11693-1904 · (929) 800-7781
Sole ProprietorYes
Enumeration DateMay 13, 2022
NPPES CertifiedMay 13, 2022
NPI 1194462952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 344020-01
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

8101 BEACH CHANNEL DR APT 2E, Rockaway Beach, NY 11693

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194462952, enumerated as an "individual" on May 13, 2022.

The provider is located at 8101 BEACH CHANNEL DR APT 2E ROCKAWAY BEACH, NY 11693 and the phone number is (929) 800-7781.

Licensed Practical Nurse with taxonomy code 164W00000X.