Tisha Burnside

Community Health Worker · Weatherford, OK

Individual Active NPI

NPI number 1306544564

Practice location

2250 N Airport Rd
Weatherford, OK 73096-3351
Phone
(405) 424-7711

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NPI record

NPI
1306544564
Entity type
Individual (Type 1)
Enumeration date
February 17, 2023
Last updated
February 17, 2023
Certified
February 17, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community Health Worker Primary 172V00000X — —

Mailing address

10465 N 2407 Rd
Weatherford, OK 73096-3109

About Tisha Burnside

Tisha Burnside is a healthcare provider registered in the NPI registry with the primary taxonomy Community Health Worker (code 172V00000X). The practice location is 2250 N Airport Rd, Weatherford, OK 73096-3351. The NPI number 1306544564 was assigned on February 17, 2023 and the record was last updated on February 17, 2023.

Frequently asked questions

What is the NPI number of Tisha Burnside?

The NPI number is 1306544564.

What is the phone number of Tisha Burnside?

The phone number listed for the practice location is (405) 424-7711.

Where is Tisha Burnside located?

2250 N Airport Rd, Weatherford, OK 73096-3351.

What is the taxonomy code for Tisha Burnside?

The primary taxonomy code is 172V00000X – Community Health Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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