Provider Demographics
NPI:1871487686
Name:LAFLEUR, TANNA (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:TANNA
Middle Name:
Last Name:LAFLEUR
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3435 BLOSSOM DR
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77705-1007
Mailing Address - Country:US
Mailing Address - Phone:409-466-1311
Mailing Address - Fax:
Practice Address - Street 1:1110 CALDER ST STE 106
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-1777
Practice Address - Country:US
Practice Address - Phone:409-292-8996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX915388163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse