| NPI | 1619502812 |
|---|---|
| Former Name | TANSHANICKA SHELLAMICE COLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP67553) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R143602) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1136376) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5017872) | |
| Enumeration Date | 2020-03-08 |
| Last Update Date | 2025-12-02 |