Basic Information
| Provider Information | |||||||||
| NPI: | 1073123550 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | URBAN | ||||||||
| FirstName: | TAUSHA | ||||||||
| MiddleName: | LAWAN | ||||||||
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| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 311 SE 29TH PL | ||||||||
| Address2: | |||||||||
| City: | OCALA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 344710487 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3523691411 | ||||||||
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| Practice Location | |||||||||
| Address1: | 280 FARNER PL | ||||||||
| Address2: | |||||||||
| City: | THE VILLAGES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 321636066 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3526741710 | ||||||||
| FaxNumber: | 3526748910 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/09/2020 | ||||||||
| LastUpdateDate: | 01/03/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/03/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN9310070 | FL | N | Nursing Service Providers | Registered Nurse | 363LF0000X | APRN11010316 | FL | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.