Provider Demographics
NPI:1427828771
Name:WRIGHT, TAJMEERAH KATRESE (CNA)
Entity type:Individual
Prefix:
First Name:TAJMEERAH
Middle Name:KATRESE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 327
Mailing Address - Street 2:
Mailing Address - City:BELFIELD
Mailing Address - State:ND
Mailing Address - Zip Code:58622-0327
Mailing Address - Country:US
Mailing Address - Phone:701-502-9644
Mailing Address - Fax:
Practice Address - Street 1:308 SUNRISE DR #9
Practice Address - Street 2:
Practice Address - City:BELFIELD
Practice Address - State:ND
Practice Address - Zip Code:58622
Practice Address - Country:US
Practice Address - Phone:701-502-9644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
347C00000X, 372600000X, 3747P1801X
ND77198376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No347C00000XTransportation ServicesPrivate Vehicle
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's Aide