Most Relevant Information
Provider Data
| NPI Number: | 1003334947 |
| Provider Name: | TANESHIA MCCLEASE LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 2-066315 |
Most Important Dates
| Enumeration Date: | 08/30/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
2513 25TH STREET ENSLEY
BIRMINGHAM
AL
352082115
Practice Location Phone/Fax
| Phone: | 2055867732 |
| Fax: |
Provider Mailing Location
2513 25TH STREET ENSLEY
BIRMINGHAM
AL
352082115
Provider Mailing Phone/Fax
| Phone: | 2055867732 |
| Fax: |