Provider Demographics
NPI:1023597846
Name:POUNDS, TASHA NICOLE (MPH)
Entity type:Individual
Prefix:MS
First Name:TASHA
Middle Name:NICOLE
Last Name:POUNDS
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 LEONARD LN
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1712
Mailing Address - Country:US
Mailing Address - Phone:757-879-9305
Mailing Address - Fax:757-802-7478
Practice Address - Street 1:626 LEONARD LN
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-1712
Practice Address - Country:US
Practice Address - Phone:757-879-9305
Practice Address - Fax:757-802-7478
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-13
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)