Provider Demographics
NPI:1679308811
Name:TOALTOAN, TASHA MARIE
Entity type:Individual
Prefix:
First Name:TASHA
Middle Name:MARIE
Last Name:TOALTOAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 UNION ALY
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-5416
Mailing Address - Country:US
Mailing Address - Phone:267-421-0976
Mailing Address - Fax:
Practice Address - Street 1:11 UNION ALY
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-5416
Practice Address - Country:US
Practice Address - Phone:267-421-0976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide