Provider Demographics
NPI:1962295006
Name:DESROSIERS, TAMEEKA (CNA)
Entity type:Individual
Prefix:
First Name:TAMEEKA
Middle Name:
Last Name:DESROSIERS
Suffix:
Gender:X
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 AIRTEX DR APT 9101
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-6635
Mailing Address - Country:US
Mailing Address - Phone:346-606-3263
Mailing Address - Fax:
Practice Address - Street 1:333 AIRTEX DR APT 9101
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-6635
Practice Address - Country:US
Practice Address - Phone:346-606-3263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNA0061036953376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide