Provider Demographics
NPI:1346061876
Name:FLORENTZ-CLIFT, TASHA NADINE (LVN)
Entity type:Individual
Prefix:
First Name:TASHA
Middle Name:NADINE
Last Name:FLORENTZ-CLIFT
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:TASHA
Other - Middle Name:NADINE
Other - Last Name:FLORENTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:1124 FLINT AVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:CA
Mailing Address - Zip Code:90744-3710
Mailing Address - Country:US
Mailing Address - Phone:949-235-9990
Mailing Address - Fax:
Practice Address - Street 1:265 S ANITA DR
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3355
Practice Address - Country:US
Practice Address - Phone:949-749-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA278900164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse