Provider Demographics
NPI:1427744994
Name:COMBS, TERESA NAKAI (CNA-CAREGIVER)
Entity type:Individual
Prefix:MS
First Name:TERESA
Middle Name:NAKAI
Last Name:COMBS
Suffix:
Gender:F
Credentials:CNA-CAREGIVER
Other - Prefix:MS
Other - First Name:TERESA
Other - Middle Name:NAKAI
Other - Last Name:COMBS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BUSINESS MANAGEMENT
Mailing Address - Street 1:201 RUE BEAUREGARD STE 202
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3251
Mailing Address - Country:US
Mailing Address - Phone:318-215-9254
Mailing Address - Fax:225-570-6952
Practice Address - Street 1:1702 E TEXAS ST APT 516
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-5051
Practice Address - Country:US
Practice Address - Phone:318-751-4816
Practice Address - Fax:225-570-6952
Is Sole Proprietor?:No
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide