Provider Demographics
NPI:1043666555
Name:SHEFFIELD, TAUSHA
Entity type:Individual
Prefix:MS
First Name:TAUSHA
Middle Name:
Last Name:SHEFFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1027 HANCOCK AVE
Mailing Address - Street 2:3
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06605
Mailing Address - Country:US
Mailing Address - Phone:293-549-9677
Mailing Address - Fax:
Practice Address - Street 1:1027 HANCOCK AVE
Practice Address - Street 2:3
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06605-1939
Practice Address - Country:US
Practice Address - Phone:293-549-9677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-13
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTNA706989376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide